FORM 1023-EZ for EVERGREEN MUSIC FOUNDATION

Field Data
EIN 81-2697000
Case Number EO-2016187-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EVERGREEN MUSIC FOUNDATION
Organization’s Mailing Address 12605 WHISPERING HILLS LANE
City SAINT LOUIS
State MO
ZIP 63146
Accounting period End 12
Primary contact name MICHAEL MCNERNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS YEH
PRESIDENT/DIRECTOR
12605 WHISPERING HILLS LANE
SAINT LOUIS MO 63146

Officer/Director/Trustee Two

LAURA YEH
DIRECTOR
12605 WHISPERING HILLS LANE
SAINT LOUIS MO 63146

Officer/Director/Trustee Three

JONATHAN LANGTON
DIRECTOR
12605 WHISPERING HILLS LANE
SAINT LOUIS MO 63146

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
Organization’s purpose Charitable: No
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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