FORM 1023-EZ for MELCHIZEDEK EDUCATION AND RESEARCH INSTITUTE

Field Data
EIN 81-3829840
Case Number EO-2017053-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MELCHIZEDEK EDUCATION AND RESEARCH INSTITUTE
Organization’s Mailing Address 1006 SOUTH ROAD
City FOX RIVER GROVE
State IL
ZIP 60021
Accounting period End 12
Primary contact name NIKISA GEORGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIKISA GEORGE
DIRECTOR
1006 SOUTH ROAD
FOX RIVER GROVE IL 60021

Officer/Director/Trustee Two

MICHAEL GEORGE
DIRECTOR
1006 SOUTH RD
FOX RIVER GROVE IL 60021

Officer/Director/Trustee Three

MICHAEL CHITAVI
DIRECTOR
1200 OAK HILL ROAD APT D
BARRINGTON IL 60010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 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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