FORM 1023-EZ for BLUE STAR HOMESTEAD

Field Data
EIN 84-4550691
Case Number EO-2020227-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE STAR HOMESTEAD
Organization’s Mailing Address PO BOX 363
City GODLEY
State TX
ZIP 76044
Accounting period End 1
Primary contact name BERNADETTE RILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERNADETTE RILEY
PRESIDENT
5813 KENTUCKY ST
JOSHUA TX 76058

Officer/Director/Trustee Two

KEVIN RILEY
VICE PRESIDENT
5813 KENTUCKY ST
JOSHUA TX 76058

Officer/Director/Trustee Three

ELISABETH BURGESS
SECRETARY
2620 TAR HEEL DR
FORT WORTH TX 76123

Officer/Director/Trustee Four

SHANNON BOYD
TREASURER
3209 TERESA CT
ARLINGTON TX 76001

Organization’s website WWW.BLUESTARHOMESTEAD.ORG
Organization’s email INFO@BLUESTARHOMESTEAD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 BERNADETTE RILEY
Signature Title PRESIDENT
Signature Date 8/12/2020

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