FORM 1023-EZ for THERAPEUTIC MUSIC IN MEDICINE INC

Field Data
EIN 81-2355537
Case Number EO-2016125-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THERAPEUTIC MUSIC IN MEDICINE INC
Organization’s Mailing Address 86 E CASE DR
City HUDSON
State OH
ZIP 44236-2744
Accounting period End 12
Primary contact name CHRISTOPHER COZENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER COZENS
CHAIRPERSON
86 E CASE DR
HUDSON OH 44236-2744

Officer/Director/Trustee Two

JEFFREY JONES
LEGAL OFFICER
86 E CASE DR
HUDSON OH 44236-2744

Officer/Director/Trustee Three

MICHELLE COZENS
SECRETARY
86 E CASE DR
HUDSON OH 44236-2744

Organization’s website
Organization’s email THERAPEUTIC.MUSIC@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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