FORM 1023-EZ for CAMARILLO MUSIC INSTITUTE

Field Data
EIN 85-0753856
Case Number EO-2020112-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMARILLO MUSIC INSTITUTE
Organization’s Mailing Address 2018 AVENUE B
City COUNCIL BLUFFS
State IA
ZIP 51501
Accounting period End 6
Primary contact name JOSE CAMARILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE CAMARILLO
DIRECTOR/PRESIDENT
2018 AVENUE B
COUNCIL BLUFFS IA 51501

Officer/Director/Trustee Two

BLANCA ARROYO
DIRECTOR/SECRETARY
2018 AVENUE B
51501 IA 51501

Officer/Director/Trustee Three

MELCHOR CEBALLOS
DIRECTOR/TREASURE
2519 S 13TH ST
COUNCIL BLUFFS IA 51501

Organization’s website
Organization’s email CAMARILLOMUSICINSTITUTE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2020
Organization Incorporation State IA
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: 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 JOSE CAMARILLO
Signature Title DIRECTOR/PRESIDENT
Signature Date 4/19/2020

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