FORM 1023-EZ for PROJECT BLANK

Field Data
EIN 35-2665040
Case Number EO-2019203-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT BLANK
Organization’s Mailing Address 3976 DOVE STREET
City SAN DIEGO
State CA
ZIP 92103
Accounting period End 6
Primary contact name PAUL J DOSTART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN NUSSMAN
DIRECTOR AND SECRETARY
3976 DOVE STREET
SAN DIEGO CA 92103

Officer/Director/Trustee Two

ADAM BIRNBAUM
DIRECTOR AND CEO/PRESIDENT
3976 DOVE STREET
SAN DIEGO CA 92103

Officer/Director/Trustee Three

WILLIAM BARTLEY
DIRECTOR AND CFO
3976 DOVE STREET
SAN DIEGO CA 92103

Organization’s website HTTPS://WWW.PROJECTBLANKSD.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/19
Organization Incorporation State CA
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: 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 JONATHAN NUSSMAN
Signature Title DIRECTOR AND SECRETARY
Signature Date 7/18/19

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