FORM 1023-EZ for BLUE ROSE WOMENS CENTER

Field Data
EIN 81-4040580
Case Number EO-2018152-000069
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE ROSE WOMENS CENTER
Organization’s Mailing Address 3607 SARATOGA DR
City HOUSTON
State TX
ZIP 77088
Accounting period End 12
Primary contact name JAZMIN PAYTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAZMIN PAYTON
PRESIDENT
9955 BAMMEL N HOUSTON 1320
HOUSTON TX 77086

Officer/Director/Trustee Two

VERNITA BRADLEY
VICE PRESIDENT
3610 ARBOR TRAILS DR
HUMBLE TX 77338

Officer/Director/Trustee Three

CAROLYN RICHARDSON-WELLS
BOARD SECRETARY
3607 SARATOGA DR
HOUSTON TX 77088

Organization’s website WWW.BLUEROSEWC.ORG
Organization’s email BLUEROSEWC@GMAIL.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/16
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P83 - Senior Centers
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAZMIN PAYTON
Signature Title PRESIDENT
Signature Date 5/30/18

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