FORM 1023-EZ for HOME STREET MUSIC

Field Data
EIN 84-2790659
Case Number EO-2019241-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOME STREET MUSIC
Organization’s Mailing Address 2945 LAGERWAY CV
City AUSTIN
State TX
ZIP 78748
Accounting period End 12
Primary contact name ELIZABETH JANICKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN WARREN
DIRECTOR; PRESIDENT
7513 HART LANE
AUSTIN TX 78731

Officer/Director/Trustee Two

MARY JO O NEAL
DIRECTOR; SECRETARY
5414 DUVAL STREET
AUSTIN TX 78751

Officer/Director/Trustee Three

AMY MURPHY
DIRECTOR
4205 WYLDWOOD ROAD
AUSTIN TX 78739

Organization’s website WWW.HOMESTREETMUSIC.ORG
Organization’s email HOMESTREETMUSICAUSTIN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, 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 MARY JO O NEAL
Signature Title DIRECTOR; SECRETARY
Signature Date 8/27/19

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