FORM 1023-EZ for BALTHASAR MEDIA INCORPORATED

Field Data
EIN 85-4038450
Case Number EO-2021019-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BALTHASAR MEDIA INCORPORATED
Organization’s Mailing Address 3719 PARKHURST WAY
City NOTTINGHAM
State MD
ZIP 21236
Accounting period End 12
Primary contact name RICHARD ABRAHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD HERRERA
DIRECTOR
9146 COVERED BRIDGE RD
PARKVILLE MD 21234-2512

Officer/Director/Trustee Two

JAY LAMPART
DIRECTOR
3719 PARKHURST WAY
NOTTINGHAM MD 21236-4810

Officer/Director/Trustee Three

DAVID KANG
DIRECTOR
7921 WEST CLARKE STREET
WAUWATOSA WI 53213-1146

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications Organizations
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
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 EDWARD HERRERA
Signature Title DIRECTOR
Signature Date 11/25/2020

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