FORM 1023-EZ for ORAL IMPLANTOLOGY INSTITUTE

Field Data
EIN 84-2042329
Case Number EO-2020104-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORAL IMPLANTOLOGY INSTITUTE
Organization’s Mailing Address 165 N CANAL ST SUITE 609
City CHICAGO
State IL
ZIP 60606
Accounting period End 12
Primary contact name IRBAD CHOWDHURY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IRBAD CHOWDHURY
PRINCIPAL
165 N CANAL SUITE 609
CHICAGO IL 60606

Officer/Director/Trustee Two

TERRENCE WHITAKER
OFFICER
3448 CALIFORNIA AVE
SAINT LOUIS MO 63118

Officer/Director/Trustee Three

NISHA MEHTA
TREASURER
777 N MICHIGAN
CHICAGO IL 60611

Organization’s website WWW.ORALIMPLANTINSTITUTE.COM
Organization’s email ORALIMPLANTINSTITUTE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 IRBAD CHOWDHURY
Signature Title PRINCIPAL
Signature Date 4/10/2020

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