FORM 1023-EZ for COUNTRY WESTERN BLUEGRASS MUSIC ASSOCIATION INC

Field Data
EIN 84-4493032
Case Number EO-2020034-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUNTRY WESTERN BLUEGRASS MUSIC ASSOCIATION INC
Organization’s Mailing Address P O BOX 181
City CHUGWATER
State WY
ZIP 82210
Accounting period End 12
Primary contact name MERWYN NILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MERWYN NILSON
PRESIDENT-DIRECTOR
P O BOX 157
CHUGWATER WY 82210

Officer/Director/Trustee Two

JOSHUA HOPKINS
DIRECTOR
710 E 20TH STREET
CHEYENNE WY 82001

Officer/Director/Trustee Three

JARVIS WINDOM
DIRECTOR
1064 GILCHRIST
WHEATLAND WY 82201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2020
Organization Incorporation State WY
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 Yes
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 MERWYN NILSON
Signature Title PRESIDENT-DIRECTOR
Signature Date 1/30/2020

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