FORM 1023-EZ for MASHIKO INTERNATIONAL EXCHANGE ASSOCIATION

Field Data
EIN 82-1474917
Case Number EO-2017261-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASHIKO INTERNATIONAL EXCHANGE ASSOCIATION
Organization’s Mailing Address 8449 RIVERSIDE DRIVE
City POWELL
State OH
ZIP 43065
Accounting period End 12
Primary contact name ISAO YAMAKAWA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ISAO YAMAKAWA
PRESIDENT
8449 RIVERSIDE DR
POWELL OH 43065

Officer/Director/Trustee Two

WILLIAM FULLERTON
SECRETARY
8325 GLENCREE PL
DUBLIN OH 43016

Officer/Director/Trustee Three

DEANNA SHINE
TREASURER
113 GIBSON PL
WESTERVILLE OH 43081

Officer/Director/Trustee Four

KEIKO YAMAKAWA
VICE PRESIDENT
8449 RIVERSIDE DR
POWELL OH 43065

Organization’s website WWW.MASHIKO.US
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q21 - International Cultural Exchange
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 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 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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