FORM 1023-EZ for ZETA BLUE NETWORK INCORPORATED

Field Data
EIN 82-4657710
Case Number EO-2018073-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZETA BLUE NETWORK INCORPORATED
Organization’s Mailing Address 1749 NW 54 STREET
City MIAMI
State FL
ZIP 33142
Accounting period End 12
Primary contact name BERNADINE BUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOIS LEE
DIRECTOR
19711 NW 7 STREET
PEMBROKE PINES FL 33029

Officer/Director/Trustee Two

PATRICIA HILL
PRESIDENT/DIRECTOR
13137 SW 51 STREET
MIRAMAR FL 33027

Officer/Director/Trustee Three

TANGELA WILSON
TREASURER/DIRECTOR
1375 NW 51 STREET
MIAMI FL 33142

Officer/Director/Trustee Four

FELICIA GREGGS-MCRAE
SECRETARY/TREASURER
3260 NW 88 AVENUE
SUNRISE FL 33351

Officer/Director/Trustee Five

BERNADINE BUSH
DIRECTOR
4900 NW 30 AVENUE
MIAMI FL 33142

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
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 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 BERNADINE BUSH
Signature Title DIRECTOR
Signature Date 3/12/18

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