FORM 1023-EZ for CALLILA INSTITUTE

Field Data
EIN 47-1589459
Case Number EO-2014303-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CALLILA INSTITUTE
Organization’s Mailing Address 7248 RIESLING ST
City MATTAWAN
State MI
ZIP 49071
Accounting period End 12
Primary contact name MICHAEL J WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH DODICH
DIRECTOR AND PRESIDENT
7248 RIESLING ST
MATTAWAN MI 49071

Officer/Director/Trustee Two

COLLEEN DODICH
DIRECTOR AND SECRETARY
7248 RIESLING ST
MATTAWAN MI 49071

Officer/Director/Trustee Three

JOSEPH NEGRI
DIRECTOR AND TREASURER
10145 SHUMAN ST
PORTAGE MI 49024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 Yes
Compensation of Officer director trustee Yes
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 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
Signature Title
Signature Date

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