FORM 1023-EZ for BBMC LOREM

Field Data
EIN 84-1926768
Case Number EO-2019154-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BBMC LOREM
Organization’s Mailing Address 36470 JIM DAHLER RD
City SOLDOTNA
State AK
ZIP 99669
Accounting period End 12
Primary contact name NIVIA MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIVIA MARTIN
EXECUTIVE DIRECTOR
36470 JIM DAHLER ROAD
SOLDOTNA AK 99669

Officer/Director/Trustee Two

JUSTIN MARTIN
OFFICER
36470 JIM DAHLER ROAD
SOLDOTNA AK 99669

Officer/Director/Trustee Three

BERNADETTE MODELO
OFFICER
1153 A STREET APT 201
ANCHORAGE AK

Organization’s website
Organization’s email BBMCLOREM@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/19
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 NIVIA MARTIN
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/30/19

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