FORM 1023-EZ for BLASTERS CARE

Field Data
EIN 81-2065902
Case Number EO-2016102-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLASTERS CARE
Organization’s Mailing Address 407 S PENNSLYVANIA
City JOPLIN
State CO
ZIP 64801-2285
Accounting period End 12
Primary contact name ANTHONY J PANASUK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GABE SUAREZ
PRESIDENT
1776 N SCOTTSDALE UNIT 442
JOPLIN MO 85257-2115

Officer/Director/Trustee Two

OSCAR SUAREZ
TREASURER
1776 N SCOTTSDALE UNIT 442
JOPLIN CO 85257-2115

Officer/Director/Trustee Three

ANTHONY PANASUK
SECRETARY
768 SOUTH FAIRPLAY COURT
AURORA CO 80012-3767

Officer/Director/Trustee Four

SHERM SCHUETT
DIRECTOR
768 SOUTH FAIRPLAY COURT
AURORA CO 80012-3767

Officer/Director/Trustee Five

MAX GROTH
DIRECTOR
768 SOUTH FAIRPLAY COURT
AURORA CO 80012-3767

Organization’s website
Organization’s email DENVERTAX2009@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - Professional Societies, Associations
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
Signature Title
Signature Date

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