FORM 1023-EZ for THE MUSE FOUNDATION INC

Field Data
EIN 83-1429521
Case Number EO-2018220-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MUSE FOUNDATION INC
Organization’s Mailing Address 6005 PARK AVE SUITE 501
City MEMPHIS
State TN
ZIP 38119
Accounting period End 12
Primary contact name DR GEORGE CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR KATOSHA MUSE
CEO
6005 PARK AVE SUITE 501
MEMPHIS TN 38119

Officer/Director/Trustee Two

ARNETT MUSE
PRESIDENT
6005 PARK AVE SUITE 501
MEMPHIS TN 38119

Officer/Director/Trustee Three

LATRESE HUGHES
SECRETARY
6005 PARK AVE
MEMPHIS TN 38119

Officer/Director/Trustee Four

LAKEBIA MASSEY
TREASURER
6005 PARK AVE SUITE 501
MEMPHIS TN 38119

Officer/Director/Trustee Five

ASHANTI COLEMAN
BOARD MEMBER
6005 PARK AVE SUITE 501
MEMPHIS TN 38119

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 Yes
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 DR KATOSHA MUSE
Signature Title CEO
Signature Date 8/6/18

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