FORM 1023-EZ for THE VILLAGES BLUES SOCIETY INC

Field Data
EIN 82-3988298
Case Number EO-2018095-000664
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE VILLAGES BLUES SOCIETY INC
Organization’s Mailing Address 1706 PALO ALTO AVE
City LADY LAKE
State FL
ZIP 32159
Accounting period End 12
Primary contact name MARK ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCIA ADAMS
PRESIDENT
1706 PALO ALTO AVE
LADY LAKE FL 32159

Officer/Director/Trustee Two

MARK ADAMS
VICE-PRESIDENT TREASURER
1706 PALO ALTO AVE
LADY LAKE FL 32159

Officer/Director/Trustee Three

DONALD COKER
SECRETARY
4281 DESKIN LANE
THE VILLAGES FL 32162

Officer/Director/Trustee Four

PETER WEBB
DIRECTOR
3360 ARCHER AVE
THE VILLAGES FL 32162

Officer/Director/Trustee Five

BOB MORISETTE
DIRECTOR
1163 BLOUNT ST
THE VILLAGES FL 32162

Organization’s website WWW.THEVILLAGESBLUES.COM
Organization’s email THEVILLAGESBLUES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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 MARK ADAMS
Signature Title VICE-PRESIDENT TREASURER
Signature Date 3/22/18

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