FORM 1023-EZ for JAVELIN INSTITUTE

Field Data
EIN 81-4252432
Case Number EO-2021097-001155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAVELIN INSTITUTE
Organization’s Mailing Address 7582 LAS VEGAS BLVD S SUITE 432
City LAS VEGAS
State NV
ZIP 89123
Accounting period End 12
Primary contact name SAMUEL PALAZZOLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL PALAZZOLO
PRES/TREAS/SEC/DIR/PRINCIPAL OFFICE
7582 LAS VEGAS BLVD S SUITE 432
LAS VEGAS NV 89123

Organization’s website JAVELININSTITUTE.ORG
Organization’s email INFO@JAVELININSTITUTE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
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 Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SAMUEL PALAZZOLO
Signature Title PRES/TREAS/SEC/DIR/PRINCIPAL OFFICE
Signature Date 3/16/2021

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