FORM 1023-EZ for JAPAN INSTITUTE FOR SOCIAL INNOVATION AND ENTREPRENEURSHIP

Field Data
EIN 81-5395732
Case Number EO-2017114-000060
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAPAN INSTITUTE FOR SOCIAL INNOVATION AND ENTREPRENEURSHIP
Organization’s Mailing Address 8305 WHITMAN DRIVE
City BETHESDA
State MD
ZIP 20817
Accounting period End 12
Primary contact name KEI S TOLLIVER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HIROMI MURAKAMI
PRESIDENT AND DIRECTOR
1730 RHODE ISLAND AVENUE NW STE414
WASHINGTON DC 20036

Officer/Director/Trustee Two

FUMIKO SASAKI
EXECUTIVE DIRECTOR
350 W 42ND ST UNIT 21I
NEW YORK NY 10036

Officer/Director/Trustee Three

MAYUMI SUGITA
DIRECTOR
8305 WHITMAN DRIVE
BETHESDA MD 20817

Organization’s website WWW.JSIE.NET/EN
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2017
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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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