FORM 1023-EZ for CANNABIS MUSEUM

Field Data
EIN 83-2062881
Case Number EO-2018276-000081
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANNABIS MUSEUM
Organization’s Mailing Address WIRTSHAFTER LAW OFFICE
City GUYSVILLE
State OH
ZIP 45735
Accounting period End 12
Primary contact name DON WIRTSHAFTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DON WIRTSHAFTER
CHAIRMAN
6998 STATE ROUTE 329
GUYSVILLE OH 45735

Officer/Director/Trustee Two

JOE B
BOARD MEMBER
6994 STATE ROUTE 329
GUYSVILLE OH 45735

Officer/Director/Trustee Three

ELIZABETH CROW
BOARD MEMBER
17955 N LAFOLLETTE ROAD
GLOUSTER OH 45732

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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 No
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 DON WIRTSHAFTER
Signature Title CHAIRMAN
Signature Date 10/1/18

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