FORM 1023-EZ for UBERMAN INSTITUTE

Field Data
EIN 86-3994974
Case Number EO-2021144-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UBERMAN INSTITUTE
Organization’s Mailing Address 4061 ELIZA AVE
City BELLINGHAM
State WA
ZIP 98226
Accounting period End 12
Primary contact name TREVOR HOLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TREVOR HOLMAN
FOUNDER
4061 ELIZA AVE
BELLINGHAM WA 98226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W05 - Research Institutes and/or Public Policy Analysis
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 Yes
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 TREVOR HOLMAN
Signature Title FOUNDER
Signature Date 5/21/2021

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