FORM 1023-EZ for BLUE WAVE INSTITUTE

Field Data
EIN 82-5497344
Case Number EO-2018194-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE WAVE INSTITUTE
Organization’s Mailing Address 5304 HERITAGE WAY
City TRAVERSE CITY
State MI
ZIP 49685
Accounting period End 12
Primary contact name JAMES DAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES DAWSON
DIRECTOR/FOUNDER
5304 HERITAGE WAY
TRAVERSE CITY MI 49685-4

Officer/Director/Trustee Two

TOM LENNOX
PRESIDENT
880 PARSONS RD
TRAVERSE CITY MI 49686-4

Officer/Director/Trustee Three

TINA KOEPF
VICE-PRESIDENT
500 NORTH BRONSON
BIG RAPIDS MI 49307-4

Officer/Director/Trustee Four

ROD CALL
TREASURER
12989 SUNSET DR
TRAVERSE CITY MI 49684-4

Officer/Director/Trustee Five

ROSA BRENEMAN
SECRETARY
401 SILVER LAKE RD
TRAVERSE CITY MI 49685-4

Organization’s website WWW.BLUEWAVEINSTITUTE.COM
Organization’s email JIM@BLUEWAVEINSTITUTE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B30 - Vocational, Technical Schools
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 JAMES DAWSON
Signature Title DIRECTOR/FOUNDER
Signature Date 7/11/18

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