FORM 1023-EZ for BLUNDERBUSS MAGAZINE

Field Data
EIN 47-1484206
Case Number EO-2015058-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUNDERBUSS MAGAZINE
Organization’s Mailing Address 181 POWERS ST APT 1R
City BROOKLYN
State NY
ZIP 11211-4921
Accounting period End 12
Primary contact name NIRAL SHAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NIRAL SHAH
TREASURER, DIRECTOR
181 POWERS ST
BROOKLYN NY 11211-4921

Officer/Director/Trustee Two

TRAVIS MUSHETT
PRESIDENT, DIRECTOR
113 STOCKHOLM ST
BROOKLYN NY 11221-5548

Officer/Director/Trustee Three

ALEX HOWE
DIRECTOR
1803 UNION ST
BROOKLYN NY 11213-5506

Organization’s website HTTP://BLUNDERBUSSMAG.COM
Organization’s email BLUNDERBUSSMAG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A33 - Printing, Publishing
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 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
Signature Title
Signature Date

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