FORM 1023-EZ for THE INSTITUTE FOR CULTURAL AND HEALING TRADITIONS

Field Data
EIN 36-4089969
Case Number EO-2017244-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE INSTITUTE FOR CULTURAL AND HEALING TRADITIONS
Organization’s Mailing Address 1530 FIFTH AVENUE
City MOLINE
State IL
ZIP 61265
Accounting period End 12
Primary contact name NARVEEN ARYAPUTRI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NARVEEN ARYAPUTRI
PRESIDENT AND DIRECTOR
29 WILDWOOD DRIVE
ROCK ISLAND IL 61201

Officer/Director/Trustee Two

KARI HOFFMAN
DIRECTOR
3512 39TH ST
MOLINE IL 61265

Officer/Director/Trustee Three

STEVEN MANENTI
DIRECTOR
520 N HALSTED ST PENTHOUSE 616
CHICAGO IL 60611

Organization’s website WWW.QCINSTITUTE.ORG
Organization’s email INSTITUTECHT@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/1996
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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