FORM 1023-EZ for BLAZER 88 FOUNDATION INC

Field Data
EIN 85-1292839
Case Number EO-2020195-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLAZER 88 FOUNDATION INC
Organization’s Mailing Address 8162 N MT VERNON WAY
City FORTVILLE
State IN
ZIP 46040
Accounting period End 12
Primary contact name TIFFANY WARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITANY THEOBALD
PRESIDENT
8162 N MT VERNON WAY
FORTVILLE IN 46040

Officer/Director/Trustee Two

JOSH WARD
VICE PRESIDENT
8173 N MOUNT VERNON WAY
FORTVILLE IN 46040

Officer/Director/Trustee Three

GARY GROVE
SECRETARY
7760 NEWTON
INDIANAPOLIS IN 46221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2020
Organization Incorporation State IN
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 BRITANY THEOBALD
Signature Title PRESIDENT
Signature Date 6/8/2020

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