FORM 1023-EZ for MUSIC THERAPY FOR SPECIAL NEEDS

Field Data
EIN 86-1633449
Case Number EO-2021091-000724
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MUSIC THERAPY FOR SPECIAL NEEDS
Organization’s Mailing Address 630 STEWART RD
City EADS
State TN
ZIP 38028
Accounting period End 12
Primary contact name KAITLYN CROCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAITLYN CROCKER
PRESIDENT
630 STEWART RD
EADS TN 38028

Officer/Director/Trustee Two

ASHLEY SCOTT
VICE PRESIDENT
1564 CEDAR FARMS CV
CORDOVA TN 38016

Officer/Director/Trustee Three

TAYLOR LIGHT
SECRETARY
P O BOX 1484
WHITTIER NC 28789

Officer/Director/Trustee Four

EVAN RODGERS
TREASURER
5135 OLIVER GROVE LN
BARTLETT TN 38002

Officer/Director/Trustee Five

DANIEL TIPTON
BOARD MEMBER
20 ASCENSION DR APT D
ASHVILLE NC 28806

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2021
Organization Incorporation State TN
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: 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 KAITLYN CROCKER
Signature Title PRESIDENT
Signature Date 2/22/2021

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