FORM 1023-EZ for APPALACHIAN MUSE INC

Field Data
EIN 81-5251642
Case Number EO-2018337-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPALACHIAN MUSE INC
Organization’s Mailing Address 617 N 7TH STREET
City CAMBRIDGE
State OH
ZIP 43725-1419
Accounting period End 12
Primary contact name KIKI DELANCEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE DELANCEY
DIRECTOR
617 N 7TH STREET
CAMBRIDGE OH 43725-1419

Officer/Director/Trustee Two

KIKI DELANCEY
DIRECTOR
617 N 7TH STREET
CAMBRIDGE OH 43725-1419

Officer/Director/Trustee Three

KIKI DELANCEY
DIRECTOR
722 N 8TH STREET
CAMBRIDGE OH 43725-1419

Organization’s website APPALACHIANMUSE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/06
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 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 KIKI DELANCEY
Signature Title DIRECTOR
Signature Date 11/29/18

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