FORM 1023-EZ for DAYTON MUSIC HALL OF FAME INC

Field Data
EIN 83-3257134
Case Number EO-2019036-001134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAYTON MUSIC HALL OF FAME INC
Organization’s Mailing Address 8740 ROSWELL ROAD UNIT 10
City SANDY SPRINGS
State GA
ZIP 30350
Accounting period End 12
Primary contact name EPHRAIM MICHAEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERRY RUTLEDGE
DIRECTOR
8740 ROSWELL ROAD UNIT 10A
SANDY SPRINGS GA 30350

Officer/Director/Trustee Two

JOHN PACE
DIRECTOR
8740 ROSWELL ROAD UNIT 10A
SANDY SPRINGS GA 30350

Officer/Director/Trustee Three

HENRY GOBER
DIRECTOR
8740 ROSWELL ROAD UNIT 10A
SANDY SPRINGS GA 30350

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State OH
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KERRY RUTLEDGE
Signature Title DIRECTOR
Signature Date 1/23/19

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