FORM 1023-EZ for CISCO HOME OF THE BRAVE

Field Data
EIN 82-4693001
Case Number EO-2018248-000052
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CISCO HOME OF THE BRAVE
Organization’s Mailing Address 238 E 2ND ST
City CISCO
State UT
ZIP 84515
Accounting period End 3
Primary contact name EILEEN MUZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EILEEN MUZA
BOARD MEMBER
238 E 2ND STREET
CISCO UT 84515

Officer/Director/Trustee Two

MARGARET MUZA
BOARD MEMBER
504 E POTTER AVE UPPER
MILWAUKEE WI 53207

Officer/Director/Trustee Three

RENEE MUZA
BOARD MEMEMBER
84 N 9TH ST APT 309
BROOKLYN NY 11249

Organization’s website WWW.EILEENMUZA.ORG
Organization’s email CISCOEILEEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 MARGARET MUZA
Signature Title BOARD MEMBER
Signature Date 9/3/18

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