FORM 1023-EZ for LEVAN MIKELADZE FOUNDATION FOR CAUCASUS STUDIES

Field Data
EIN 47-3377331
Case Number EO-2015110-000135
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEVAN MIKELADZE FOUNDATION FOR CAUCASUS STUDIES
Organization’s Mailing Address 906 BIRDSALL STREET
City HOUSTON
State TX
ZIP 77007
Accounting period End 12
Primary contact name WILLIAM P GLENN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TINATIN MIKELADZE
DIRECTOR, PRESIDENT SECRETARY
906 BIRDSALL STREET
HOUSTON TX 77007

Officer/Director/Trustee Two

SERGI NAKAIDZE
DIRECTOR TREASURER
906 BIRDSALL STREET
HOUSTON TX 77007

Officer/Director/Trustee Three

MAMUKA TSERETELI
DIRECTOR VICE PRESIDENT
5101 RIVER ROAD SUITE 605
BETHESDA MD 20816

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State TX
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: 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 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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