FORM 1023-EZ for THE POETICA ENSEMBLE

Field Data
EIN 84-3566983
Case Number EO-2019310-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE POETICA ENSEMBLE
Organization’s Mailing Address PO BOX 14
City SAGAPONACK
State NY
ZIP 11962
Accounting period End 8
Primary contact name CHRISTOPHER SHAUGHNESSY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER SHAUGHNESSY
DIRECTOR
PO BOX 14
SAGAPONACK NY 11962

Officer/Director/Trustee Two

SONG-A DELLAQUILA
CO-DIRECTOR
PO BOX 14
SAGAPONACK NY 11962

Officer/Director/Trustee Three

ANDREW PEREA
TREASURE
85 ELM STREET
HUNTINGTON NY 11743

Officer/Director/Trustee Four

REBECCA PEREA
SECRETARY
85 ELM STREET
HUNTINGTON NY 11743

Officer/Director/Trustee Five

JOAN MILLER
ADVISOR
PO BOX 392
BRIDGEHAMPTON NY 11932

Organization’s website
Organization’s email SEESHAU@OPTONLINE.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 CHRISTOPHER SHAUGHNESSY
Signature Title DIRECTOR
Signature Date 11/4/19

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