FORM 1023-EZ for AMERICA MIYAZAKI KENJINKAI

Field Data
EIN 47-5558494
Case Number EO-2015321-000044
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICA MIYAZAKI KENJINKAI
Organization’s Mailing Address 11704 TENNESSEE AVENUE
City LOS ANGELES
State CA
ZIP 90064-1315
Accounting period End 12
Primary contact name GEORGE MORI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE MORI
PRESIDENT
11704 TENNESSEE AVENUE
LOS ANGELES CA 90064-1315

Officer/Director/Trustee Two

NOBUKO KIMURA
SECRETARY
3748 KEYSTONE AVENUE APT 102
LOS ANGELES CA 90034-6314

Officer/Director/Trustee Three

SHINGO ARASE
TREASURER
1995 WEST COLLEGE VIEW DRIVE
MONTEREY PARK CA 91754-4437

Officer/Director/Trustee Four

MIYAKO KADOGAWA
PAST PRESIDENT
4030 SKELTON CIRCLE
CULVER CITY CA 90232-3721

Officer/Director/Trustee Five

ROCKY MORI
VICE PRESIDENT
178 SILVER FERN COURT
SIMI VALLEY CA 93065-6715

Organization’s website AMERICAMIYAZAKIKENJINKAI.ORG
Organization’s email GEORGEMORI@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
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 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 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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