FORM 1023-EZ for MIRIAMS MELODY INC

Field Data
EIN 82-2551027
Case Number EO-2017235-000497
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIRIAMS MELODY INC
Organization’s Mailing Address 1562 FIRST AVENUE SUITE 205-1716
City NEW YORK
State NY
ZIP 10028-4004
Accounting period End 6
Primary contact name MICHAEL ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL ROBERTS
PRESIDENT
1562 FIRST AVENUE SUITE 205-1716
NEW YORK NY 10028-4004

Officer/Director/Trustee Two

SHANE COETSER
VICE PRESIDENT
1562 FIRST AVENUE SUITE 205-1716
NEW YORK NY 10028-4004

Officer/Director/Trustee Three

ANNA BROWN
SECRETARY
1562 FIRST AVENUE SUITE 205-1716
NEW YORK NY 10028-4004

Organization’s website MIRIAMSMELODY.ORG
Organization’s email PAY.GOV@MIRIAMSMELODY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
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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