FORM 1023-EZ for HOUSE OF METATRON AND METISSE

Field Data
EIN 47-3767553
Case Number EO-2015114-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF METATRON AND METISSE
Organization’s Mailing Address 540 N NEVADA AVE
City MONTROSE
State CO
ZIP 81401
Accounting period End 12
Primary contact name CAROL MAGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTINE CHADWICK
PRESIDENT, DIRECTOR
4015 W COOL VALLEY RD
CHINO VALLEY AZ 86323

Officer/Director/Trustee Two

JILL LEWIS
SECRETARY, DIRECTOR
400 S 4TH ST
MONTROSE CO 81401

Officer/Director/Trustee Three

SUSANNE CHAKAN-GILBERT
TREASURER, DIRECTOR
155 HENRY ST APT 5A
BROOKLYN NY 11201

Officer/Director/Trustee Four

CAROL MAGER
VICE PRESIDENT, DIRECTOR
540 N NEVADA AVE
MONTROSE CO 81401

Officer/Director/Trustee Five

ASHTAR-ATHENA SHERAN
DIRECTOR
6300 WEST AVE J-12
LANCASTER CA 93536

Organization’s website WWW.HEALINGANDMEDITATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2013
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 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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