FORM 1023-EZ for BLUE AND BLACK FOUNDATION

Field Data
EIN 86-3248949
Case Number EO-2021106-000406
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE AND BLACK FOUNDATION
Organization’s Mailing Address PO BOX 170285
City AUSTIN
State TX
ZIP 78717-0017
Accounting period End 12
Primary contact name ROBERT DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT DOUGLAS
INCORPORATOR
PO BOX 170285
AUSTIN TX 78717-0017

Organization’s website HTTPS://BLUEANDBLACKFOUNDATION.COM/
Organization’s email ADMIN@BLUEANDBLACKFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT DOUGLAS
Signature Title INCORPORATOR
Signature Date 4/14/2021

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