FORM 1023-EZ for KWATSAN MEDIA INC

Field Data
EIN 45-3624147
Case Number EO-2015002-000089
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KWATSAN MEDIA INC
Organization’s Mailing Address 621 IRONWOOD TERRACE
City WINTERHAVEN
State CA
ZIP 92283
Accounting period End 6
Primary contact name KENRICK JESSE ESCALANTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KENRICK ESCALANTI
CHAIR
621 IRONWOOD TERRACE
WINTERHAVEN CA 92283

Officer/Director/Trustee Two

BRIAN GOLDING SR
VICE CHAIR
3509 W 27TH ST
YUMA AZ 85364-6958

Officer/Director/Trustee Three

DANIEL GOLDING
TREASURER
291 S MAIN STREET SUITE E
YUMA AZ 85364

Officer/Director/Trustee Four

MONIQUE ESCALANTI
SECRETARY
621 IRONWOOD TERRACE
WINTERHAVEN CA 92283

Officer/Director/Trustee Five

LYCIA ORTEGA
BOARD MEMBER
9911 E PASEO SAN BRUNO
TUCSON AZ 85747

Organization’s website KWATSANRADIO.ORG
Organization’s email KWATSANMEDIAINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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