FORM 1023-EZ for MUSICAL THERAPY CLUB

Field Data
EIN 82-3785856
Case Number EO-2018038-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSICAL THERAPY CLUB
Organization’s Mailing Address 3223 DIAMOND RIDGE DR
City RENO
State NV
ZIP 89523
Accounting period End 8
Primary contact name CHRISTIAN BAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTIAN BAK
PRESIDENT
10048 VIA MIRA MONTE
RENO NV 89511

Officer/Director/Trustee Two

JOSEPH CHEUNG
VICE PRESIDENT
8612 COPPER FALLS AVE
LAS VEGAS NV 89129

Officer/Director/Trustee Three

AMBREEN AZIM
VICE PRESIDENT
3223 DIAMOND RIDGE DR
RENO NV 89523

Officer/Director/Trustee Four

DIEGO RIOS
DIRECTOR
1821 BURNSIDE DR
RENO NV 89434

Officer/Director/Trustee Five

JARED DESAMERO
DIRECTOR
81 PEACHTREE HILL AVE
LAS VEGAS NV 89183

Organization’s website HTTP://MUSICALUNR.WEEBLY.COM/
Organization’s email MUSICALUNR@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/17
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 CHRISTIAN BAK
Signature Title PRESIDENT
Signature Date 2/5/18

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