FORM 1023-EZ for THE MUSE WITHIN INC

Field Data
EIN 38-4024183
Case Number EO-2017058-000558
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MUSE WITHIN INC
Organization’s Mailing Address 568 MIDDLE RD
City BAYPORT
State NY
ZIP 11705
Accounting period End 12
Primary contact name DAVID DOIG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID DOIG
PRESIDENT
568 MIDDLE RD
BAYPORT NY 11705

Officer/Director/Trustee Two

JACK LICITRA
BOARD OF DIRECTORS
131 EASY ST
WEST SAYVILLE NY 11796

Officer/Director/Trustee Three

PAUL SEAL
BOARD OF DIRECTORS
181 BAYVIEW AVE
BAYPORT NY 11705

Organization’s website
Organization’s email BSM5236@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2017
Organization Incorporation State NY
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 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
Signature Title
Signature Date

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