FORM 1023-EZ for MYCELIUM CREATIVE ECONOMIES

Field Data
EIN 82-4429888
Case Number EO-2018051-000156
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MYCELIUM CREATIVE ECONOMIES
Organization’s Mailing Address PO BOX 911
City OHKAY OWINGEH
State NM
ZIP 87566
Accounting period End 12
Primary contact name DEVON HOFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE MARKESTEYN
OFFICER
PRIVATE ROAD 1097 41
ALCALDE NM 87566

Officer/Director/Trustee Two

DEVON HOFFMAN
DIRECTOR
PRIVATE ROAD 1097 41
ALCALDE NM 87566

Officer/Director/Trustee Three

ANDRES ROMERO
OFFICER
941 DON CUBERO
SANTA FE NM 87505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/18
Organization Incorporation State NM
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: Yes
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 DEVON HOFFMAN
Signature Title DIRECTOR
Signature Date 2/15/18

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