FORM 1023-EZ for BLUE FOREVER INC

Field Data
EIN 46-4022115
Case Number EO-2014232-000036
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE FOREVER INC
Organization’s Mailing Address 205 PINEY DRIVE
City PRINCETON
State LA
ZIP 71067
Accounting period End 12
Primary contact name KELLIE MIRANDA ABBOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLIE ABBOTT
DIRECTOR/PRESIDENT
205 PINEY DRIVE
PRINCETON LA 71067

Officer/Director/Trustee Two

JESSICA HALL
DIRECTOR/SECRETARY
205 PINEY DRIVE
PRINCETON LA 71067

Officer/Director/Trustee Three

MICHAEL VANSANT
DIRECTOR/TREASURER
400 BOULEVARD STREET
SHREVEPORT LA 71104

Officer/Director/Trustee Four

RUBYE WEBB
VICE PRESIDENT
2100 CHASE BLVD
SHREVEPORT LA 71118

Organization’s website WWW.BLUEFOREVER.ORG
Organization’s email BLUEFOREVERFUNDRAISER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2013
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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