FORM 1023-EZ for PHONOGRAPHIC MEMORY

Field Data
EIN 47-5040258
Case Number EO-2015268-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHONOGRAPHIC MEMORY
Organization’s Mailing Address 169 BONVIEW ST APT A
City SAN FRANCISCO
State CA
ZIP 94110
Accounting period End 9
Primary contact name COREY BLOOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COREY BLOOM
PRESIDENT, DIRECTOR
169 BONVIEW ST APT A
SAN FRANCISCO CA 94110

Officer/Director/Trustee Two

VALERIE REICHERT
VICE PRESIDENT, DIRECTOR
500 CORTLAND AVE
SAN FRANCISCO CA 94110

Officer/Director/Trustee Three

ASHLEYANNE KRIGBAUM
TREASURER, DIRECTOR
879 53RD ST
OAKLAND CA 94608

Officer/Director/Trustee Four

MATT KADI
SECRETARY, DIRECTOR
4535 WALNUT ST
OAKLAND CA 94619

Organization’s website WWW.PHONOGRAPHICMEMORY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service 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 No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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