FORM 1023-EZ for CENTRAL BASIN COMMUNITY CONCERT ASSOCIATION

Field Data
EIN 91-6053816
Case Number EO-2016214-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL BASIN COMMUNITY CONCERT ASSOCIATION
Organization’s Mailing Address PO BOX 2203
City MOSES LAKE
State WA
ZIP 98837
Accounting period End 4
Primary contact name MARY ANDERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY ANDERSEN
PRESIDENT
PO BOX 2203
MOSES LAKE WA 98837

Officer/Director/Trustee Two

PAULINE LEPSCHE
TREASURER
PO BOX 2203
MOSES LAKE WA 98837

Officer/Director/Trustee Three

MARCY FAVERO
MEMBERSHIP CHAIR
PO BOX 2203
MOSES LAKE WA 98837

Officer/Director/Trustee Four

FRANCIE IRWIN
PUBLICITY CHAIR
PO BOX 2203
MOSES LAKE WA 98837

Officer/Director/Trustee Five

FLOYD SWENSON
PATRON MANAGER
PO BOX 2203
MOSES LAKE WA 98837

Organization’s website WWW.COMMUNITYCONCERTSML.COM
Organization’s email CENTRALBASINCOMMUNITYCONCERTS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/1994
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
Organization’s purpose Charitable: No
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 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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