FORM 1023-EZ for BLUE CRAYON FOUNDATION INC

Field Data
EIN 38-4135120
Case Number EO-2020287-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE CRAYON FOUNDATION INC
Organization’s Mailing Address 603 OMALLEY ST
City WAUNAKEE
State WI
ZIP 53597
Accounting period End 12
Primary contact name HEATHER MURRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER MURRAY
PRESIDENT
603 OMALLEY STREET
WAUNAKEE WI 53597

Officer/Director/Trustee Two

SEAN MURRAY
VICE PRESIDENT/TREASURER
603 OMALLEY STREET
WAUNAKEE WI 53597

Officer/Director/Trustee Three

GABE MURRAY
SECRETARY
603 OMALLEY STREET
WAUNAKEE WI 53597

Officer/Director/Trustee Four

JILL JOHNSON
BOARD MEMBER
1000 SCHOENEMANN RD
MAZOMANIE WI 53597

Officer/Director/Trustee Five

KATHY DAHLBERG
BOARD MEMBER
1690 25TH STREET
RICE LAKE WI 54868

Organization’s website
Organization’s email HDMURRAY14@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/4/2019
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 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 HEATHER MURRAY
Signature Title PRESIDENT
Signature Date 10/8/2020

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