FORM 1023-EZ for KAIZEN DIVERSIFIED EDUCATIONAL SERVICES INC

Field Data
EIN 84-3255637
Case Number EO-2020007-000087
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAIZEN DIVERSIFIED EDUCATIONAL SERVICES INC
Organization’s Mailing Address 3110 EAST BOUNDARY CT
City MIDLOTHIAN
State VA
ZIP 23112
Accounting period End 12
Primary contact name CHENIA T SIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHENIA T SIMS
PRESIDENT
1278 ASHFORD PARK DRIVE
GLEN ALLEN VA 23059

Officer/Director/Trustee Two

RICHARD DAVIS
TREASURER
3824 MILL MOUNT DRIVE
POWHATAN VA 23139

Officer/Director/Trustee Three

DALLAS DANCE
SECRETARY
10624 SALUDA AVENUE
GLEN ALLEN VA 23060

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 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 CHENIA T SIMS
Signature Title PRESIDENT
Signature Date 1/5/2020

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