FORM 1023-EZ for EMPIRE FILM MUSIC ENSEMBLE INC

Field Data
EIN 47-1945724
Case Number EO-2017212-000104
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMPIRE FILM MUSIC ENSEMBLE INC
Organization’s Mailing Address PO BOX 31645
City ROCHESTER
State NY
ZIP 14603-9998
Accounting period End 8
Primary contact name MICHAEL STAFFELDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAX BERLIN
CO-PRESIDENT
26 GIBBS ST
ROCHESTER NY 14604

Officer/Director/Trustee Two

JOSE ESCOBAR
CO-PRESIDENT
26 GIBBS ST
ROCHESTER NY 14604

Officer/Director/Trustee Three

MICHAEL STAFFELDT
TREASURER
9743 LIBERTY GREEN
SAN ANTONIO TX 78245

Officer/Director/Trustee Four

JEFF BEAL
CHAIR OF THE BOARD
6160 FAIRVIEW PLACE
AGOURA CA 91301

Officer/Director/Trustee Five

REINHILD STEINGROVER
BOARD MEMBER
100 GIBBS ST
ROCHESTER NY 14605

Organization’s website EMPIREFILMMUSICENSEMBLE.ORG
Organization’s email EMPIREFILMMUSICENSEMBLE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A69 - Symphony Orchestras
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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