FORM 1023-EZ for JAX UHAI GAKUEN INC

Field Data
EIN 87-1639859
Case Number EO-2021196-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAX UHAI GAKUEN INC
Organization’s Mailing Address 2657 GALE CT
City JACKSONVILLE
State FL
ZIP 32204
Accounting period End 12
Primary contact name DALE RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALE RODRIGUEZ
PRESIDENT
2657 GALE CT
JACKSONVILLE FL 32204

Officer/Director/Trustee Two

VINCE THOMAS
DIRECTOR
2530 WEST 23RD STREET
JACKSONVILLE FL 32209

Officer/Director/Trustee Three

DEBBIE JERIDO
DIRECTOR
2530 WEST 23RD STREET
JACKSONVILLE FL 32209

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DALE RODRIGUEZ
Signature Title PRESIDENT
Signature Date 7/13/2021

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