FORM 1023-EZ for AMOEBA MUSIC PERSERVATION PROJECT

Field Data
EIN 81-2702880
Case Number EO-2016260-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMOEBA MUSIC PERSERVATION PROJECT
Organization’s Mailing Address 6400 SUNSET BOULEVARD
City HOLLYWOOD
State CA
ZIP 90028
Accounting period End 12
Primary contact name MARY G SANCIMINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE PRINZ
PRESIDENT
6400 SUNSET BOULEVARD
HOLLYWOOD CA 90028

Officer/Director/Trustee Two

MARC WEINSTEIN
VICE PRESIDENT
6400 SUNSET BOULEVARD
HOLLYWOOD CA 90028

Officer/Director/Trustee Three

JIM HENDERSON
SECRETARY
6400 SUNSET BOULEVARD
HOLLYWOOD CA 90028

Officer/Director/Trustee Four

KAREN PEARSON
TREASURER
6400 SUNSET BOULEVARD
HOLLYWOOD CA 90028

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2016
Organization Incorporation State CA
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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