FORM 1023-EZ for LAKE CUMBERLAND BLUEGRASS FESTIVALINC

Field Data
EIN 32-0099130
Case Number EO-2014240-000499
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE CUMBERLAND BLUEGRASS FESTIVALINC
Organization’s Mailing Address 1911 SOUTH HIGHWAY 76
City RUSSELL SPRINGS
State KY
ZIP 42642
Accounting period End 12
Primary contact name ALICIA JOY FLETCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLARISSA HART
DIRECTOR
1911 SOUTH HWY 76
RUSSELL SPRINGS KY 42642

Officer/Director/Trustee Two

JENNIE HART
DIRECTOR
1911 SOUTH HWY 76
RUSSELL SPRINGS KY 42642

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2004
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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