FORM 1023-EZ for POP FERGUSON BLUES INC

Field Data
EIN 45-4468287
Case Number EO-2015022-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POP FERGUSON BLUES INC
Organization’s Mailing Address 1001 WEST AVE NW - C/O JOSEPH DELK
City LENOIR
State NC
ZIP 28645
Accounting period End 12
Primary contact name JAMES P UPTON III EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLYDE FERGUSON
CHAIRMAN
1001 WEST AVE NW
LENOIR NC 28645

Officer/Director/Trustee Two

JOSEPH DELK
VICE CHAIR
1001 WEST AVE NW
LENOIR NC 28645

Officer/Director/Trustee Three

KAREN FERGUSON
SECRETARY
720 OSPREY CT
GALLOWAY NJ 08205

Officer/Director/Trustee Four

TABATHA BOWMAN
LOGISTICS
5698 WESLEY ST
HICKORY NC 28601

Officer/Director/Trustee Five

DANNY GILBERT
FINANCE OFFICER
825 WEST AVE
LENOIR NC 28645

Organization’s website WWW.POPFERGUSONBLUESINC.COM
Organization’s email CRFERGJR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2013
Organization Incorporation State NC
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: 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 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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