FORM 1023-EZ for BLUES SOCIETY OF NORTHWEST FLORIDAINC

Field Data
EIN 59-3555158
Case Number EO-2019212-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUES SOCIETY OF NORTHWEST FLORIDAINC
Organization’s Mailing Address 4176 AQUA VISTA DRIVE
City PENSACOLA
State FL
ZIP 32504
Accounting period End 12
Primary contact name JOHN T PHARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT RIGGS
PRESIDENT
4176 AQUA VISTA DRIVE
PENSACOLA FL 32504

Officer/Director/Trustee Two

LEE MASKERY
V PRESIDENT
2366 NEW YORK STREET
JAY FL 32565

Officer/Director/Trustee Three

PHYLLIS JOHNSON
DIRECTOR
3208 BAYOU BLVD
PENSACOLA FL 32503

Officer/Director/Trustee Four

REGGIE WAKEMAN
TREASURER
913 N PACE BLVD
PENSACOLA FL 32505

Officer/Director/Trustee Five

JAMES RICHMOND
SECRETARY
8572 WESTVIEW LANE
PENSACOLA FL 32514

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/98
Organization Incorporation State FL
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SCOTT RIGGS
Signature Title PRESIDENT
Signature Date 7/29/19
EIN 59-3555158
Case Number EO-2019212-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUES SOCIETY OF NORTHWEST FLORIDA INC
Organization’s Mailing Address 4176 AQUA VISTA DRIVE
City PENSACOLA
State FL
ZIP 32504
Accounting period End 12
Primary contact name JOHN T PHARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT RIGGS
PRESIDENT
4176 AQUA VISTA DRIVE
PENSACOLA FL 32504

Officer/Director/Trustee Two

LEE MASKERY
V PRESIDENT
2366 NEW YORK STREET
JAY FL 32565

Officer/Director/Trustee Three

PHYLLIS JOHNSON
DIRECTOR
3208 BAYOU BLVD
PENSACOLA FL 32503

Officer/Director/Trustee Four

REGGIE WAKEMAN
TREASURER
913 N PACE BLVD
PENSACOLA FL 32505

Officer/Director/Trustee Five

JAMES RICHMOND
SECRETARY
8572 WESTVIEW LANE
PENSACOLA FL 32514

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/98
Organization Incorporation State FL
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SCOTT RIGGS
Signature Title PRESIDENT
Signature Date 7/29/19

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