FORM 1023-EZ for MIDWEST BLUEGRASS

Field Data
EIN 84-3082204
Case Number EO-2019269-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDWEST BLUEGRASS
Organization’s Mailing Address 1612 CHAMPLAIN ST
City OTTAWA
State IL
ZIP 61350
Accounting period End 12
Primary contact name KIM KRAEMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM KRAEMER
PRESIDENT
1612 CHAMPLAIN ST
OTTAWA IL 61350-1653

Officer/Director/Trustee Two

JOYCE KRAEMER
SECRETARY/TREASURER
1612 CHAMPLAIN ST
OTTAWA IL 61350-1653

Officer/Director/Trustee Three

DIANE KRAEMER
VICE PRESIDENT
1706 HAWKINS AVE
DOWNERS GROVE IL 60516-3730

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 KIM KRAEMER
Signature Title PRESIDENT
Signature Date 9/24/19

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