FORM 1023-EZ for MUSIC BOX ANGELS INC

Field Data
EIN 82-1843985
Case Number EO-2017276-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MUSIC BOX ANGELS INC
Organization’s Mailing Address 5434 RIVER RD N
City KEIZER
State OR
ZIP 97303
Accounting period End 12
Primary contact name FAYE KIRCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FAYE KIRCHER
PRESIDENT
5434 RIVER RD N
KEIZER OR 97303

Officer/Director/Trustee Two

BETTY BARTLETT
VICE PRESIDENT
1339 PARKMEADOW DR NE
KEIZER OR 97303

Officer/Director/Trustee Three

GERI HENJUM
TREASURE
1191 LAURELRIDGE ST N
KEIZER OR 97303

Officer/Director/Trustee Four

SHERRY NORGORD
SECRETARY
7241 FIELDVIEW
KEIZER OR 97303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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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