FORM 1023-EZ for CCHS PARENT MUSICAL ORGANIZATION INC

Field Data
EIN 84-2812471
Case Number EO-2019284-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CCHS PARENT MUSICAL ORGANIZATION INC
Organization’s Mailing Address 115 EAST EVERGREEN RD
City LEBANON
State PA
ZIP 17042
Accounting period End 6
Primary contact name MICHELLE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNE STOVER
PRESIDENT
71 WALDEN ROAD
LEBANON PA 17042

Officer/Director/Trustee Two

ANITA ATKINS
VICE PRESIDENT
1133 HUNTERS CHASE LANE
LEBANON PA 17046

Officer/Director/Trustee Three

HEATHER PEDERSEN
SECRETARY
1841 LAKE DRIVE
LEBANON PA 17046

Officer/Director/Trustee Four

MICHELLE MILLER
TREASURER
343 EAST EVERGREEN ROAD
LEBANON PA 17042

Organization’s website
Organization’s email MILLERS343@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 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 MICHELLE MILLER
Signature Title TREASURER
Signature Date 10/7/19

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