FORM 1023-EZ for BLUE HEART INDUSTRIES INC

Field Data
EIN 86-2267068
Case Number EO-2021093-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE HEART INDUSTRIES INC
Organization’s Mailing Address 2764 SANDSTONE COURT
City PALMDALE
State CA
ZIP 93551-1073
Accounting period End 12
Primary contact name DARREN WATTERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARREN WATTERS
DIRECTOR
2764 SANDSTONE COURT
PALMDALE CA 93551-1073

Officer/Director/Trustee Two

KEVIN SCHOTT
DIRECTOR
2132 BUCKWHEAT AVENUE
ROSAMOND CA 93560-6046

Officer/Director/Trustee Three

KATRINA WATTERS
DIRECTOR
2764 SANDSTONE COURT
PALMDALE CA 93551-1073

Organization’s website BLUEHEARTCARES.ORG
Organization’s email INFO@BLUEHEARTCARES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, Services
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 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 DARREN WATTERS
Signature Title DIRECTOR
Signature Date 2/27/2021

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