FORM 1023-EZ for KAYA RETREATS INC

Field Data
EIN 82-3423570
Case Number EO-2018059-000346
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAYA RETREATS INC
Organization’s Mailing Address 4710 S WESTERN AVENUE
City LOS ANGELES
State CA
ZIP 90062
Accounting period End 12
Primary contact name KAYA MATTHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYA MATTHEWS
PRESIDENT, TREASURER
4710 S WESTERN AVE
LOS ANGELES CA 90062

Officer/Director/Trustee Two

ARLENE ANDRADE
SECRETARY
4710 S WESTERN AVE
LOS ANGELES CA 90062

Officer/Director/Trustee Three

MARIE USHER
DIRECTOR
4710 S WESTERN AVE
LOS ANGELES CA 90062

Organization’s website WWW.KAYARETREATS.COM
Organization’s email KAYAVENTURES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 KAYA MATTHEWS
Signature Title PRESIDENT, TREASURER
Signature Date 2/26/18

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