FORM 1023-EZ for BACKSTREET CULTURAL MUSEUM

Field Data
EIN 72-1488658
Case Number EO-2017135-000044
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACKSTREET CULTURAL MUSEUM
Organization’s Mailing Address 1116 HENRIETTE DELILLE STREET
City NEW ORLEANS
State LA
ZIP 70116
Accounting period End 12
Primary contact name KEVIN MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE BARNES
PRESIDENT
4414 SOUTH MIRO STREET
NEW ORLEANS LA 70125

Officer/Director/Trustee Two

KEVIN MARTIN
TREASURER
5114 PERRIER STREET
NEW ORLEANS LA 70115

Officer/Director/Trustee Three

NICOLE RAGNONE
SECRETARY
5526 FRERET STREET
NEW ORLEANS LA 70115

Officer/Director/Trustee Four

MARY DAWES
DIRECTOR
931 MILAN STREET
NEW ORLEANS LA 70115

Officer/Director/Trustee Five

NANCY HAMPTON
DIRECTOR
9522 PALM STREET
NEW ORLEANS LA 70118

Organization’s website HTTP://WWW.BACKSTREETMUSEUM.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2000
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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