FORM 1023-EZ for PUMP HOUSE MUSIC WORKS

Field Data
EIN 81-3975431
Case Number EO-2016279-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUMP HOUSE MUSIC WORKS
Organization’s Mailing Address 1464 KINGSTOWN RD
City WAKEFIELD
State RI
ZIP 02879
Accounting period End 12
Primary contact name CYNTHIA M GIFFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL COLLINS
PRESIDENT
1464 KINGSTOWN RD
WAKEFIELD RI 02879

Officer/Director/Trustee Two

ARIEL BODMAN
VICE PRESIDENT
1464 KINGSTOWN RD
KINGSTON RI 02879

Officer/Director/Trustee Three

CYNTHIA GIFFORD
TREASURER
20 CURTIS RD
SAUNDERSTOWN IA 02874

Officer/Director/Trustee Four

JONATHAN GARBER
SECRETARY
133 BARN FARM RD
KINGSTON RI 02881

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2016
Organization Incorporation State RI
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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