FORM 1023-EZ for HOKUTO TAIKO DOJO

Field Data
EIN 82-3095677
Case Number EO-2017296-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOKUTO TAIKO DOJO
Organization’s Mailing Address PO BOX 3928
City CONCORD
State NH
ZIP 03302-9999
Accounting period End 4
Primary contact name JASON SEYMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON SEYMORE
PRESIDENT/CEO
153 RUMFORD ST
CONCORD NH 03301

Officer/Director/Trustee Two

DREW DOYLE
TREASURER
153 RUMFORD ST
CONCORD NH 03301

Officer/Director/Trustee Three

AMANDA WEBER
SECRETARY
58 RIDGEWOOD ST
MANCHESTER NH 03103

Officer/Director/Trustee Four

ABBY KINGMAN
BOARD MEMBER
120 SEARS RD
GOSHEN MA 01096

Officer/Director/Trustee Five

ALLAN COREY
BOARD MEMBER
3 KATHLEEN DR
EXETER NH 03733

Organization’s website WWW.HOKUTOTAIKODOJO.COM
Organization’s email HOKUTOTAIKODOJO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2017
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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