FORM 1023-EZ for BLACK BART GUNFIGHTERS THEATRICAL GROUP

Field Data
EIN 83-4597559
Case Number EO-2019130-000029
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK BART GUNFIGHTERS THEATRICAL GROUP
Organization’s Mailing Address 20575 TIMBER RD
City WILLITS
State CA
ZIP 95490
Accounting period End 12
Primary contact name LINDA PALMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AL ROBINSON JR
PRESIDENT/DIRECTOR
1750 S MAIN STREET SPACE 37
WILLITS CA 95490

Officer/Director/Trustee Two

PATRICIA MCBRIDE
TREASURER/DIRECTOR
1750 S MAIN ST NUM 37
WILLITS CA 95490

Officer/Director/Trustee Three

LINDA PALMER
SECRETARY/DIRECTOR
2649 PRIMROSE DR
WILLITS CA 95490

Officer/Director/Trustee Four

SCOTT FERLEMAN
VICE-PRESIDENT/DIRECTOR
20575 TIMBER RD
WILLITS CA 95490

Officer/Director/Trustee Five

MIKE BURGESS
SERGEANT-AT-ARMS/DIRECTOR
1711 FORT BRAGG RD
WILLITS CA 95490

Organization’s website
Organization’s email WILLITSBELLAROSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
Organization’s purpose Charitable: Yes
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 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 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 LINDA PALMER
Signature Title SECRETARY/DIRECTOR
Signature Date 5/8/19

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