FORM 1023-EZ for CANYON BLUES AND JAZZ

Field Data
EIN 84-1998646
Case Number EO-2019270-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANYON BLUES AND JAZZ
Organization’s Mailing Address 5 CALLE CORVO
City PLACITAS
State NM
ZIP 87043-9336
Accounting period End 4
Primary contact name SANDRA LIAKUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANJA BLADERGROEN
CO-CHAIR/ DIRECTOR
17 PLACITAS WEST ROAD
PLACITAS NM 87043

Officer/Director/Trustee Two

JIM CASEY
CHIEF COMMERCIAL OFFICER/ DIRECTOR
24 LA PUERTA TRAILS
PLACITAS NM 87043

Officer/Director/Trustee Three

SANDRA LIAKUS
CHAIR/DIRECTOR
5 CALLE CORVO
PLACITAS NM 87043-9336

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/19
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 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 SANDRA LIAKUS
Signature Title CHAIR/DIRECTOR
Signature Date 9/25/19

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