FORM 1023-EZ for CINEDEVINE JAZZ PRESERVATION INC

Field Data
EIN 47-3671249
Case Number EO-2015146-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CINEDEVINE JAZZ PRESERVATION INC
Organization’s Mailing Address 506 SOUTH HIGH STREET SUITE A
City YELLOW SPRINGS
State OH
ZIP 45387
Accounting period End 12
Primary contact name BARRY P REICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC DEVINE
PRESIDENT, DIRECTOR
2 GARRISON CIRCLE
NORTHBOROUGH MA 01532

Officer/Director/Trustee Two

PATRICK ERTEL
TREASURER, DIRECTOR
529 WOODHAVEN TRAIL
YELLOW SPRINGS OH 45387

Officer/Director/Trustee Three

VICKI ERTEL
SECRETARY, DIRECTOR
529 WOODHAVEN TRAIL
YELLOW SPRINGS OH 45387

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2015
Organization Incorporation State OH
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 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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