FORM 1023-EZ for KAIROS COMMUNITY VENTURES

Field Data
EIN 85-1288710
Case Number EO-2020175-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAIROS COMMUNITY VENTURES
Organization’s Mailing Address 2274 LILLYVALE AVE
City LOS ANGELES
State CA
ZIP 90032-3510
Accounting period End 12
Primary contact name RYAN KU-BORDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN KU-BORDEN
CEO, CHAIRMAN OF THE BOARD
2274 LILLYVALE AVE
LOS ANGELES CA 90032-3510

Officer/Director/Trustee Two

THOMAS IRWIN
CFO, SECRETARY
962 S WOODS AVE
EAST LOS ANGELES CA 90022-3931

Officer/Director/Trustee Three

SAMUEL GEONETTA-TRIHUS
BOARD MEMBER
5265 VIA SAN DELARRO ST
LOS ANGLES CA 90022-2112

Officer/Director/Trustee Four

JOHNNY HONG
BOARD MEMBER
630 IDAHO AVE APT 201
SANTA MONICA CA 90403-2711

Officer/Director/Trustee Five

NA NA
NA
NA
NA CA 90032

Organization’s website WWW.KAIROSVENTURES.ORG
Organization’s email ADMIN@KAIROSVENTURES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 Yes
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 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 RYAN KU-BORDEN
Signature Title CEO, CHAIRMAN OF THE BOARD
Signature Date 6/19/2020

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