FORM 1023-EZ for UBUNTU MUSIC THERAPY INITIATIVE INC

Field Data
EIN 82-1057566
Case Number EO-2017096-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UBUNTU MUSIC THERAPY INITIATIVE INC
Organization’s Mailing Address 120 HOLMES ST UNIT 321
City QUINCY
State MA
ZIP 02171
Accounting period End 1
Primary contact name BROOKE WILDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BROOKE WILDER
VICE PRESIDENT/DIRECTOR
120 HOLMES ST
QUINCY MA 02171

Officer/Director/Trustee Two

CAROLINE SMITH
PRESIDENT/DIRECTOR
288 DRS JAMES PARKER BLVD
RED BANKS NJ 07701

Officer/Director/Trustee Three

KAREN WACKS
ADVISOR
7 HAVILAND
BOSTON MA 02215

Officer/Director/Trustee Four

BROOKE WILDER
TREASURER
120 HOLMES ST UNIT 321
QUINCY MA 02171

Officer/Director/Trustee Five

CAROLINE SMITH
SECRETARY
288 DRS JAMES PARKER BLVD
RED BANKS NJ 07701

Organization’s website WWW.UBUNTUMT.COM
Organization’s email BROOKEWILDERMUSIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 Yes
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 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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