FORM 1023-EZ for MUSICIANS AGAINST SEXUAL VIOLENCE

Field Data
EIN 82-1726939
Case Number EO-2017226-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MUSICIANS AGAINST SEXUAL VIOLENCE
Organization’s Mailing Address 44 E 77TH AVENUE
City EUGENE
State OR
ZIP 97402
Accounting period End 12
Primary contact name DAVID E ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATELYNN ERB
TREASURER
1035 CLARK STREET
EUGENE OR 97402

Officer/Director/Trustee Two

JANELLE DERVEN
PRESIDENT
2580 JEFFERSON ST
EUGENE OR 97405

Officer/Director/Trustee Three

NICHOLAS HAWLEY-GAMER
VICE-PRESIDENT
770 W 8TH AVENUE
EUGENE OR 97402

Officer/Director/Trustee Four

GENEVIEVE SCHAACK
SECRETARY
1672 W 8TH AVE
EUGENE OR 97402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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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