FORM 1023-EZ for ENSEMBLE CONCEPT-21
| Field | Data |
|---|---|
| EIN | 83-2457869 |
| Case Number | EO-2018313-000209 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ENSEMBLE CONCEPT-21 |
| Organization’s Mailing Address | 2220 TRAILRIDGE S |
| City | MISHAWAKA |
| State | IN |
| ZIP | 46544 |
| Accounting period End | 12 |
| Primary contact name | JORGE MUNIZ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JORGE MUNIZ
PRESIDENT AND TREASURER
2220 TRAILRIDGE S
MISHAWAKA IN 46544
Officer/Director/Trustee Two
CARMEN TELLEZ
SECRETARY
1745 W NORTH SHORE DR
SOUTH BEND IN 46617
Officer/Director/Trustee Three
GUSTAVO LEONE
VICE-PRESIDENT FOR ARTISTIC PLANNIN
4415 N DAMEN AVE
CHICAGO IL 60625
Officer/Director/Trustee Four
SHERRY KUJALA
VICE-PRESIDENT FOR OPERATIONS
222 MAIN ST APT 504
EVANSTON IL 60202
Officer/Director/Trustee Five
ILYA LEVINSON
VICE-PRESIDENT FOR DEVELOPMENT
3933 NORTH TROY STREET APT 1
CHICAGO IL 60618
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/7/18 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A6C - Music Groups, Bands, Ensembles |
| 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 | 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 | JORGE MUNIZ |
| Signature Title | PRESIDENT AND TREASURER |
| Signature Date | 11/7/18 |
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