FORM 1023-EZ for NATIONAL KRATOM EDUCATION CENTER INC

Field Data
EIN 82-4982021
Case Number EO-2018107-000811
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL KRATOM EDUCATION CENTER INC
Organization’s Mailing Address 1193 SE PORT ST LUCIE BLVD 180
City PORT SAINT LUCIE
State FL
ZIP 34952
Accounting period End 12
Primary contact name ISAAC CUBILLOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES DEVERS
PRESIDENT
4838 COUNTY ROAD 349
ELBA AL 36323

Officer/Director/Trustee Two

ROSS FALLACARO
VP
4476 NORTHWEST 65TH STREET
COCONUT CREEK FL 33073

Officer/Director/Trustee Three

KATRINA MADSEN
SECTREAS
3456 BURKE RD
WALLACE ID 83873

Officer/Director/Trustee Four

STEPHANIE BROWN
DIRECTOR
816 50TH ST REAR
NORFOLK VA 23508-2020

Officer/Director/Trustee Five

ISAAC CUBILLOS
DIRECTOR
1193 SE PORT ST LUCIE BLVD 180
PORT SAINT LUCIE FL 34952

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ISAAC CUBILLOS
Signature Title DIRECTOR
Signature Date 3/29/18

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