FORM 1023-EZ for MUSIC IMMERSION FOR NEURAL DEVELOPMENT

Field Data
EIN 87-2007978
Case Number EO-2021218-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSIC IMMERSION FOR NEURAL DEVELOPMENT
Organization’s Mailing Address 1433 NE 46TH AVE
City PORTLAND
State OR
ZIP 97213
Accounting period End 12
Primary contact name HOLLIANNE ERVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLIANNE ERVIN
PRESIDENT
1433 NE 46TH AVE
PORTLAND OR 97213

Officer/Director/Trustee Two

DESSA WELLS
SECRETARY
804 NE 159TH CT
VANCOUVER WA 98684

Officer/Director/Trustee Three

KIRUBA DHARANEESWARAN
VICE PRESIDENT
500 HILLTOP DR APT 149
REDDING CA 96003

Organization’s website
Organization’s email MINDMUSICGROUP.ED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2021
Organization Incorporation State OR
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: No
Scientific: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HOLLIANNE ERVIN
Signature Title PRESIDENT
Signature Date 8/4/2021

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