FORM 1023-EZ for MUSEUM OF AMERICAN THEATER

Field Data
EIN 47-2654218
Case Number EO-2015054-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MUSEUM OF AMERICAN THEATER
Organization’s Mailing Address 236B HERITAGE HILLS
City SOMERS
State NY
ZIP 10589-9993
Accounting period End 1
Primary contact name DENNIS EISENBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DENNIS EISENBERG
OFFICER
236B
SOMERS NY 10589-9993

Officer/Director/Trustee Two

PAUL MILLER
OFFICER
477 MYRON TAYLOR HALL
ITHACA NY 14853

Officer/Director/Trustee Three

ARIANNE REYER
SECRETARY
3010 GRAND BOULEVARD
BALDWIN NY 11510-3162

Officer/Director/Trustee Four

EVAN MICHAILIDIS
OFFICER
1540 BROADWAY 12TH FLOOR
NEW YORK NY 10036-9998

Officer/Director/Trustee Five

EDWARD PUGLIESE
TRUSTEE
134 BONNIE BRAE COURT
SOMERS NY 10527-9998

Organization’s website
Organization’s email INFO@MATMUSEUM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
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 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
Signature Title
Signature Date

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