FORM 1023-EZ for BLUEWATER LEGACY FOUNDATION INC

Field Data
EIN 87-1366094
Case Number EO-2021183-000421
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUEWATER LEGACY FOUNDATION INC
Organization’s Mailing Address 151 NORTH NOB HILL ROAD SUITE 187
City PLANTATION
State FL
ZIP 33324
Accounting period End 12
Primary contact name ALYSHA KHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALYSHA KHAN
DIRECTOR
151 NORTH NOB HILL ROAD SUITE 187
PLANTATION FL 33324

Officer/Director/Trustee Two

SHABEENA KHAN
DIRECTOR
151 NORTH NOB HILL ROAD SUITE 187
PLANTATION FL 33324

Officer/Director/Trustee Three

ANWAR KHAN
DIRECTOR
151 NORTH NOB HILL ROAD SUITE 187
PLANTATION FL 33324

Organization’s website WWW.BLUEWATERLEGACY.ORG
Organization’s email TEAM@BLUEWATERLEGACY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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 ALYSHA KHAN
Signature Title DIRECTOR
Signature Date 6/30/2021

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