FORM 1023-EZ for EARTHBOUND MOON NFP

Field Data
EIN 47-5122312
Case Number EO-2016193-000603
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EARTHBOUND MOON NFP
Organization’s Mailing Address 2503 WEST EASTWOOD AVENUE ORBIT 3
City CHICAGO
State IL
ZIP 60625-3505
Accounting period End 12
Primary contact name LEE SPARKS PEMBLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEE PEMBLETON
PRESIDENT
2503 WEST EASTWOOD AVENUE ORBIT 3
CHICAGO IL 60625-3505

Officer/Director/Trustee Two

ALEX CLAUSEN
SECRETARY
2503 WEST EASTWOOD AVENUE ORBIT 3
CHICAGO IL 60625-3505

Officer/Director/Trustee Three

CARSON MURDACH
TREASURER
2503 WEST EASTWOOD AVENUE ORBIT 3
CHICAGO IL 60625-3505

Officer/Director/Trustee Four

ANGELA VALAVANIS
DIRECTOR
2503 WEST EASTWOOD AVENUE ORBIT 3
CHICAGO IL 60625-3505

Officer/Director/Trustee Five

STEL VALAVANIS
DIRECTOR
2503 WEST EASTWOOD AVENUE ORBIT 3
CHICAGO IL 60625-2505

Organization’s website EARTHBOUNDMOON.COM
Organization’s email INFO@EARTHBOUNDMOON.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2016
Organization Incorporation State IL
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: 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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