FORM 1023-EZ for KG MARTIAL ARTS ASSOCIATION INC

Field Data
EIN 84-2974539
Case Number EO-2020041-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KG MARTIAL ARTS ASSOCIATION INC
Organization’s Mailing Address 110 W MAIN ST
City PALMYRA
State WI
ZIP 53156
Accounting period End 12
Primary contact name JOHN FLETCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARELS WARREN
PRESIDENT
110 W MAIN ST
PALMYRA WI 53156

Officer/Director/Trustee Two

CARL DANDRIDGE
VICE PRESIDENT
110 W MAIN ST
PALMYRA WI 53156

Officer/Director/Trustee Three

MARCIE LEA
TREASURER
110 W MAIN ST
PALMYRA WI 53156

Officer/Director/Trustee Four

KAREN WATSON
SECRETARY
110 W MAIN ST
PALMYRA WI 53156

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2019
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARL DANDRIDGE
Signature Title VICE PRESIDENT
Signature Date 2/6/2020

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