FORM 1023-EZ for BLUE PETAL FOUNDATION

Field Data
EIN 82-4726301
Case Number EO-2018106-001123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE PETAL FOUNDATION
Organization’s Mailing Address 1028 W 1420 N
City OREM
State UT
ZIP 84057
Accounting period End 3
Primary contact name BENJAMIN KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN KING
PRESIDENT
1028 WEST 1420 NORTH
OREM UT 84057

Officer/Director/Trustee Two

CHERYL KING
SECRETARY
1028 WEST 1420 NORTH
OREM UT 84057

Officer/Director/Trustee Three

KRISTINA ELLSWORTH
TREASURER
2893 CHEROKEE LANE
PROVO UT 84604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 BENJAMIN KING
Signature Title PRESIDENT
Signature Date 4/12/18

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