FORM 1023-EZ for BACK THE BLUE 176

Field Data
EIN 85-2129464
Case Number EO-2020210-000589
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACK THE BLUE 176
Organization’s Mailing Address 251 GREY FOX LANE
City HOT SPRINGS
State AR
ZIP 71913
Accounting period End 12
Primary contact name KYLER POMEROY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLER POMEROY
CHAIRMAN
251 GREY FOX LANE
HOT SPRINGS AR 71913

Officer/Director/Trustee Two

DAVID HAFER
DIRECTOR
6425 AIRPORT RD
PEARCY AR 71964

Officer/Director/Trustee Three

TINA CHASTAIN
DIRECTOR
105 GINGER BLUE PT
HOT SPRINGS AR 71913

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 KYLER POMEROY
Signature Title CHAIRMAN
Signature Date 7/24/2020

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