FORM 1023-EZ for THE CHAMELEON INSTITUTE

Field Data
EIN 81-2956913
Case Number EO-2016188-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CHAMELEON INSTITUTE
Organization’s Mailing Address 9119 HAVERSTOCK DRIVE
City HOUSTON
State TX
ZIP 77031-2709
Accounting period End 12
Primary contact name IOANA IACOB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IOANA IACOB
PRESIDENT
9119 HAVERSTOCK DRIVE
HOUSTON TX 77031-2709

Officer/Director/Trustee Two

ALEXSANDRA MARTINEZ
EXECUTIVE DIRECTOR
5800 WOODWAY DRIVE APT 147
HOUSTON TX 77057-1508

Officer/Director/Trustee Three

ROCIO BRENDLE
SECRETARY
7419 LYNBROOK FALLS LN
HUMBLE TX 77396-4060

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P84 - Ethnic, Immigrant Centers, Services
Organization’s purpose Charitable: Yes
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 Yes
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
Signature Title
Signature Date

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