FORM 1023-EZ for HARMONY AND ME MUSIC OUTREACH

Field Data
EIN 82-1554150
Case Number EO-2017334-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARMONY AND ME MUSIC OUTREACH
Organization’s Mailing Address 97961 PAYNE ROAD
City BROOKINGS
State OR
ZIP 97415
Accounting period End 12
Primary contact name PATRICIA BARTLETT-IVERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA BARTLETT-IVERSON
EXECUTIVE DIRECTOR
97961 PAYNE ROAD
BROOKINGS OR 97415

Officer/Director/Trustee Two

HARMONY BARTLETT
SECRETARY
827 HICKORY WAY
FREMONT CA 94536

Officer/Director/Trustee Three

SHERRY CASTANEDA
TREASURER
215 S BELL - 412
LYONS KS 67554

Organization’s website
Organization’s email OUTREACH@HARMONYANDMEMUSIC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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