FORM 1023-EZ for WINTER BLUES FESTIVAL

Field Data
EIN 46-1564732
Case Number EO-2019093-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WINTER BLUES FESTIVAL
Organization’s Mailing Address 4230 SE KING RD
City MILWAUKIE
State OR
ZIP 97222
Accounting period End 5
Primary contact name LEEANN GIBBONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEEANN GIBBONS
PRESIDENT
4230 SE KING RD NO 263
MILWAUKIE OR 97222

Officer/Director/Trustee Two

MICHAEL PANKRATZ
VICE PRESIDENT
11613 SE LINWOOD
MILWAUKIE OR 97222

Officer/Director/Trustee Three

CATHY FOLEY
SECRETARY
17414 SE 199TH ST
MILWAUKIE OR 97222

Organization’s website WWW.WINTERBLUESFEST.NET
Organization’s email WINTERBLUESFESTIVAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/15
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name LEEANN GIBBONS
Signature Title PRESIDENT
Signature Date 4/1/19

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