FORM 1023-EZ for MUSIC PEBBLE

Field Data
EIN 83-1173066
Case Number EO-2018222-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSIC PEBBLE
Organization’s Mailing Address 466 ROLLING HILLS DRIVE
City WADSWORTH
State OH
ZIP 44281
Accounting period End 12
Primary contact name J JEFFREY HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WARREN OWENS
PRESIDENT
466 ROLLING HILLS DRIVE
WADSWORTH OH 44281

Officer/Director/Trustee Two

RENEE OWENS
DIRECTOR
1260 EASTWOOD AVENUE
AKRON OH 44305

Officer/Director/Trustee Three

SARAH COSTELLO
DIRECTOR
1218 HIGH STREET
WADSWORTH OH 44281

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 WARREN OWENS
Signature Title PRESIDENT
Signature Date 8/8/18

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