FORM 1023-EZ for MUAY THAI FOR WARRIORS INC

Field Data
EIN 85-2717726
Case Number EO-2020241-000057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUAY THAI FOR WARRIORS INC
Organization’s Mailing Address 14129 BEACH BLVD
City JACKSONVILLE
State FL
ZIP 32250
Accounting period End 12
Primary contact name MICHAEL GUMB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL GUMB
PRESIDENT
14129 BEACH BLVD
JACKSONVILLE FL 32250

Officer/Director/Trustee Two

JARED TAYLOR
DIRECTOR OF OPERATIONS
14129 BEACH BLVD
JACKSONVILLE FL 32250

Officer/Director/Trustee Three

JAMES FUQUA
COMMUNITY ACTION BOARD LIASON
14129 BEACH BLVD
JACKSONVILLE FL 32250

Officer/Director/Trustee Four

JONATHAN TOKER
COMMUNITY ACTION BOARD LIASON
14129 BEACH BLVD
JACKSONVILLE FL 32250

Officer/Director/Trustee Five

JENNIFER WILLIS
COMMUNITY ACTION BOARD LIASON
14129 BEACH BLVD
JACKSONVILLE FL 32250

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 No
Correctness Declaration Yes
Signature Name MICHAEL GUMB
Signature Title PRESIDENT
Signature Date 8/26/2020

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