FORM 1023-EZ for BOYLE HEIGHTS KARATE DO SHITO RYU

Field Data
EIN 82-1284651
Case Number EO-2017116-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOYLE HEIGHTS KARATE DO SHITO RYU
Organization’s Mailing Address 16303 DOUBLEGROVE ST
City LA PUENTE
State CA
ZIP 91744-1315
Accounting period End 12
Primary contact name JOANNA MARES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ENRIQUE MARES
PRESIDENT
16303 DOUBLEGROVE ST
LA PUENTE CA 91744-1315

Officer/Director/Trustee Two

DORECH MALLYON
SECRETARY
3539 HILLVIEW PL
LOS ANGELES CA 90032-1404

Officer/Director/Trustee Three

JOANNA MARES
TREASURER
455 S DOWNEY RD
LOS ANGELES CA 90063-1511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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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