FORM 1023-EZ for KRAV MAGA ASSOCIATION OF AMERICA INC WESTERN REGION

Field Data
EIN 95-3993726
Case Number EO-2014310-000427
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KRAV MAGA ASSOCIATION OF AMERICA INC WESTERN REGION
Organization’s Mailing Address 11500 OLYMPIC BOULEVARD SUITE 545
City LOS ANGELES
State CA
ZIP 90064
Accounting period End 12
Primary contact name REBECKA BIEJO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOEL BERNSTEIN
CHAIRMAN
11500 OLYMPIC BLVD SUITE 545
LOS ANGELES CA 90064

Officer/Director/Trustee Two

DARREN LEVINE
SECRETARY
11500 OLYMPIC BLVD SUITE 545
LOS ANGELES CA 90064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/1984
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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