FORM 1023-EZ for MUSE PERFORMANCE SPACE

Field Data
EIN 83-1012499
Case Number EO-2018179-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSE PERFORMANCE SPACE
Organization’s Mailing Address 1655 SARATOGA DRIVE
City LAFAYETTE
State CO
ZIP 80026
Accounting period End 4
Primary contact name CLARE CHURCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARE CHURCH
EXECUTIVE DIRECTOR
1655 SARATOGA DRIVE
LAFAYETTE CO 80026

Officer/Director/Trustee Two

PETER LEWIS
EXECUTIVE DIRECTOR
1655 SARATOGA DRIVE
LAFAYETTE CO 80026

Officer/Director/Trustee Three

MOLLY MCCROSSON
DIRECTOR
2064 STONEHENGE CIRCLE
LAFAYETTE CO 80026

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A61 - Performing Arts Centers
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 Yes
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 CLARE CHURCH
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/26/18

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