FORM 1023-EZ for NEAR DEATH EXPERIENCE RESEARCH FOUNDATION INC

Field Data
EIN 30-1012434
Case Number EO-2018016-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEAR DEATH EXPERIENCE RESEARCH FOUNDATION INC
Organization’s Mailing Address 1600 GOLF ROAD SUITE 1200
City ROLLING MEADOWS
State IL
ZIP 60008
Accounting period End 12
Primary contact name JOSEPH KHASHO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODY LONG
PRESIDENT
244 LAKE MECHANT CT
HOUMA LA 70360

Officer/Director/Trustee Two

JOSEPH KHASHO
VICE-PRESIDENT
1600 GOLF ROAD SUITE 1200
ROLLING MEADOWS IL 60008

Officer/Director/Trustee Three

DARRIN DAVENPORT
SECRETARY-TREASURER
165 EAST A STREET SUITE B
DIXON CA 95620

Organization’s website WWW.NDERF.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/17
Organization Incorporation State DE
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: 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 Yes
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 JODY LONG
Signature Title PRESIDENT
Signature Date 1/11/18

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