FORM 1023-EZ for THE UNDERGROUND MUSEUM INC

Field Data
EIN 47-4019904
Case Number EO-2015197-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE UNDERGROUND MUSEUM INC
Organization’s Mailing Address 3508 W WASHINGTON BLVD
City LOS ANGELES
State CA
ZIP 90012-1121
Accounting period End 12
Primary contact name ROBERT PACHECO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NOAH DAVIS
PRESIDENT
3508 W WASHINGTON BLVD
LOS ANGELES CA 90018-1121

Officer/Director/Trustee Two

LOURI FISTENBERG
SECRETARY
3508 W WASHINGTON BLVD
LOS ANGELES CA 90018-1121

Officer/Director/Trustee Three

KARON DAVIS
CHIEF FINANCIAL OFFICER
3508 W WASHINGTON BLVD
LOS ANGELES CA 90018-1121

Officer/Director/Trustee Four

ROBERT PACHECO
DIRECTOR
161 COMMERCE WAY
WALNUT CA 90018-1121

Officer/Director/Trustee Five

KARON DAVIS
DIRECTOR
3508 W WASHINGTON BLVD
WALNUT CA 90018-1121

Organization’s website NA
Organization’s email ROBERT@PACHECO-LAW.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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
Signature Title
Signature Date

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