FORM 1023-EZ for SPRINGFIELD AREA MUSIC INDUSTRY

Field Data
EIN 83-1657886
Case Number EO-2019030-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPRINGFIELD AREA MUSIC INDUSTRY
Organization’s Mailing Address 2627 NORTH EAST AVENUE
City SPRINGFIELD
State MO
ZIP 65803
Accounting period End 12
Primary contact name MATTHEW BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW BAKER
PRESIDENT
2627 NORTH EAST AVENUE
SPRINGFIELD MO 65803

Officer/Director/Trustee Two

JUSTIN MEDLEY
TREASURER
500 NORTH 12TH AVENUE
OZARK MO 65721

Officer/Director/Trustee Three

ROBERT VOSS
SECRETARY
500 NORTH 12TH AVENUE
OZARK MO 65721

Organization’s website SAMI417.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 No
Donation of funds Yes
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 MATTHEW BAKER
Signature Title PRESIDENT
Signature Date 12/21/18

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