FORM 1023-EZ for CHRISTIAN TAE KWON DO ACADEMY INC

Field Data
EIN 81-1001598
Case Number EO-2016049-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRISTIAN TAE KWON DO ACADEMY INC
Organization’s Mailing Address 1400 FRUIT COVE ROAD N
City FRUIT COVE
State FL
ZIP 32259
Accounting period End 12
Primary contact name SHANNON RICHARDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES LAMOUREUX
PRESIDENT
1400 FRUIT COVE ROAD N
FRUIT COVE FL 32259

Officer/Director/Trustee Two

SHANNON LASHLEY-RICHARDSON
TREASURER
240 JOHNS GLEN DRIVE
ST JOHNS FL 32259

Officer/Director/Trustee Three

STEVEN RALPH
OFFICER
1118 GARRISON DRIVE
ST AUGUSTINE FL 32092

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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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