FORM 1023-EZ for AMERICAN KRATOM SERVICES

Field Data
EIN 86-3212856
Case Number EO-2021209-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN KRATOM SERVICES
Organization’s Mailing Address 1911 SE TIBBETTS ST
City PORTLAND
State OR
ZIP 97202
Accounting period End 4
Primary contact name JOSHUA ARNOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA ARNOLD
PRES&TREAS&EXECDIREC&OWN
PO BOX 86022
PORTLAND OR 97286

Officer/Director/Trustee Two

BRUCE HUCK
SECRETARY
9365 SW BROOKS BEND PLACE
PORTLAND OR 97223

Organization’s website
Organization’s email INFO@AMERICANKRATOMSERVICES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 JOSHUA ARNOLD
Signature Title PRES&TREAS&EXECDIREC&OWN
Signature Date 7/26/2021

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