FORM 1023-EZ for J C KARATE MINISTRIES AND FITNESS INC

Field Data
EIN 80-0525404
Case Number EO-2015208-000417
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name J C KARATE MINISTRIES AND FITNESS INC
Organization’s Mailing Address 6369 NORMAN ST
City WEBSTER
State FL
ZIP 33597-9225
Accounting period End 12
Primary contact name JASON P CHASE SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON CHASE
PRESIDENT
6369 NORMAN ST
WEBSTER FL 33597-9225

Officer/Director/Trustee Two

SARA CHASE
VICE PRESIDENT
6369 NORMAN ST
WEBSTER FL 33597-9225

Officer/Director/Trustee Three

VERNON CHASE
DIRECTOR
33427 WESTWOOD DR
RIDGE MANOR FL 33523-9021

Officer/Director/Trustee Four

JACKIE SANTORO
DIRECTOR
26299 SOULT RD
BROOKSVILLE FL 34601

Officer/Director/Trustee Five

ROBIN SMITH
DIRECTOR
5319 AZALEA CIR
DADE CITY FL 33523-9021

Organization’s website JCKARATE.ORG
Organization’s email CHASE@JCKARATE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2009
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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