FORM 1023-EZ for KIDS WORLD INTERNATIONAL BRAZILIAN JIU-JITSU ACADEMY

Field Data
EIN 82-3854271
Case Number EO-2018008-000333
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIDS WORLD INTERNATIONAL BRAZILIAN JIU-JITSU ACADEMY
Organization’s Mailing Address 12125 DAY STREET SUITE T-103
City MORENO VALLEY
State CA
ZIP 92557-6708
Accounting period End 12
Primary contact name ROMMEL DUNBAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROMMEL DUNBAR
CHAIR
12125 DAY STREET STE T-103
MORENO VALLEY CA 92557-6708

Officer/Director/Trustee Two

LINDY BEDFORD
SECRETARY
12125 DAY STREET STE T-103
MORENO VALLEY CA 92557-6708

Officer/Director/Trustee Three

CHRISTY EARHEART
TREASURER
12125 DAY STREET STE T-103
MORENO VALLEY CA 92557-6708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/15
Organization Incorporation State CA
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROMMEL DUNBAR
Signature Title CHAIR
Signature Date 1/5/18

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