FORM 1023-EZ for VOLUSIA COUNTY BLUES SOCIETY INC

Field Data
EIN 81-2363817
Case Number EO-2016123-000395
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VOLUSIA COUNTY BLUES SOCIETY INC
Organization’s Mailing Address 74 MAPLE IN THE WOOD
City PORT ORANGE
State FL
ZIP 32129-2340
Accounting period End 12
Primary contact name MICHAEL J GALLUCCI - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL J GALLUCCI
PRESIDENT- DIRECTOR
74 MAPLE IN THE WOOD
PORT ORANGE FL 32129-2340

Officer/Director/Trustee Two

DOMINIC L MORGESE
TREASURER
97 TREASURE LANE
ORMOND BEACH FL 32126

Officer/Director/Trustee Three

JANICE M GROSSHANS
DIRECTOR
247 HAMILTON ST
ROCHESTER NY 14620

Officer/Director/Trustee Four

ROBERT M OXLEY
DIRECTOR
278 N BEACH ST
ORMOND BEACH FL 32174

Organization’s website WWW.VOLUSIACOUNTYBLUESSOCIETY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
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 Yes
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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