FORM 1023-EZ for EVERGREEN BLUEGRASS FESTIVAL

Field Data
EIN 81-2673357
Case Number EO-2016144-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EVERGREEN BLUEGRASS FESTIVAL
Organization’s Mailing Address PO BOX 4292
City EVERGREEN
State CO
ZIP 80437
Accounting period End 12
Primary contact name DANA PRICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANA PRICE
PRESIDENT
2743 CORTINA LANE
EVERGREEN CO 80439

Officer/Director/Trustee Two

TAMI COURTNEY
VICE PRESIDENT
30853 AMERICAN PARKWAY
EVERGREEN CO 80439

Officer/Director/Trustee Three

MARY BETH PRICE
SECRETARY
4977 BUFFALO CREEK LANE
EVERGREEN CO 80439

Officer/Director/Trustee Four

THOMAS SEYBOLD
TREASURER
31699 QUARTER HORSE ROAD
EVERGREEN CO 80439

Officer/Director/Trustee Five

GRETCHEN HOCK
BOARD MEMBER
600 EAGLES NEST TRAIL
EVERGREEN CO 80439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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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