FORM 1023-EZ for SUPER KIDS KARATE INC

Field Data
EIN 90-0262927
Case Number EO-2018309-000193
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPER KIDS KARATE INC
Organization’s Mailing Address 4990 W CRAIG RD SUITE 8
City LAS VEGAS
State NV
ZIP 89130
Accounting period End 12
Primary contact name TERRY SUSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUE LANGDON
PRESIDENT
5605 AVENIDA TAMPICO
LAS VEGAS NV 89108

Officer/Director/Trustee Two

MARY SUSKI
1ST VICE PRESIDENT
5417 EAGLE CLAW AVE
LAS VEGAS NV 89130

Officer/Director/Trustee Three

TERRY SUSKI
TREASURER
5417 EAGLE CLAW AVE
LAS VEGAS NV 89130

Officer/Director/Trustee Four

ROB PAULINE
2ND VICE PRESIDENT
4249 N COMMERCE ST APT 2143
NORTH LAS VEGAS NV 89032

Officer/Director/Trustee Five

JEWEL PAULINE
SECRETARY
4249 N COMMERCE ST APT 2143
NORTH LAS VEGAS NV 89032

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/03
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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 Yes
Correctness Declaration Yes
Signature Name TERRY SUSKI
Signature Title TREASURER
Signature Date 10/31/18

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