FORM 1023-EZ for NORTH ADAMS MUSIC BOOSTERS

Field Data
EIN 83-1608216
Case Number EO-2018257-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH ADAMS MUSIC BOOSTERS
Organization’s Mailing Address 2126 NICHOLS RIDGE ROAD
City SEAMAN
State OH
ZIP 45679
Accounting period End 12
Primary contact name RANDALYN WORLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH ROBINSON
PRESIDENT
18123 SR 247
SEAMAN OH 45679

Officer/Director/Trustee Two

GARY CONWAY
VICE PRESIDENT
50 W JEFFERSON PO BOX 262
WINCHESTER OH 45697

Officer/Director/Trustee Three

ANGELENA NEWMAN
TREASURER
2126 NICHOLS RIDGE ROAD
SEAMAN OH 45679

Officer/Director/Trustee Four

ROSEMARIE CHASE
SECRETARY
1603 GREENRBRIER ROAD
SEAMAN OH 45679

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
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 KEITH ROBINSON
Signature Title PRESIDENT
Signature Date 9/12/18

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