FORM 1023-EZ for KONNICHIWA CLUB INCORPORATED

Field Data
EIN 45-4207829
Case Number EO-2016007-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KONNICHIWA CLUB INCORPORATED
Organization’s Mailing Address 330 WEST BERWICKE COMMON
City ATLANTA
State GA
ZIP 30342
Accounting period End 12
Primary contact name YOSHIE BRANDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

YOSHIE BRANDT
CEO
330 WEST BERWICKE COMMON
ATLANTA GA 30342

Officer/Director/Trustee Two

MAYUMI STELLA
CFO
109 LEXINGTON PARKE DRIVE
WOOD STOCK GA 30189

Officer/Director/Trustee Three

YOKO CALHOUN
VP
2564 OLD ORCHARD TRAIL
MARIETTA GA 30062

Officer/Director/Trustee Four

SATOMI OGISO
SECRETARY
4135 BRECKENRIDGE COURT
ALPHARETTA GA 30005

Officer/Director/Trustee Five

HIDEO TADA
BOARD MEMBER
3699 HERMITAGE DRIVE
BERKELEY LAKE GA 30096

Organization’s website KONNICHIWACLUB.ORG
Organization’s email YDBRANDT@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2012
Organization Incorporation State GA
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 No
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 Yes
One Third Support Gifts No
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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