FORM 1023-EZ for BURN BLUE

Field Data
EIN 26-1394275
Case Number EO-2020049-000554
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURN BLUE
Organization’s Mailing Address 9230 MARY AVE NW
City SEATTLE
State WA
ZIP 98117
Accounting period End 12
Primary contact name EMILY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SMITH
CO-DIRECTOR
9230 MARY AVE NW
SEATTLE WA 98117

Officer/Director/Trustee Two

EMILY SMITH
CO-DIRECTOR
9230 MARY AVE NW
SEATTLE WA 98117

Officer/Director/Trustee Three

BRECCA SMITH
EDUCATION COORDINATOR
956 18TH AVE E
SEATTLE WA 98112

Officer/Director/Trustee Four

JOHN LOZANO
COMMUNITY REP
6518 PHINNEY AVE
SEATTLE WA 98103

Organization’s website WWW.EMERALDCITYBLUES.COM
Organization’s email EMERALDCITYBLUES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2007
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 EMILY SMITH
Signature Title CO-DIRECTOR
Signature Date 2/14/2020

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