FORM 1023-EZ for BLIND GRILLING INC

Field Data
EIN 81-4679288
Case Number EO-2017165-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLIND GRILLING INC
Organization’s Mailing Address 1932 SOUTH WELLER AVENUE
City SPRINGFIELD
State MO
ZIP 65804-2338
Accounting period End 12
Primary contact name CHRISTOPHER PELTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER PELTZ
PRESIDENT
1932 SOUTH WELLER AVENUE
SPRINGFIELD MO 65804-2338

Officer/Director/Trustee Two

KEVIN WARD
VICE-PRESIDENT
736 CRESCENT CIRCLE
CANTON GA 30115-4771

Officer/Director/Trustee Three

JEFF DAVIS
MARKETING DIRECTOR
1119 CROWN ISLE CIRCLE
APOPKA FL 32712-2950

Officer/Director/Trustee Four

DAWN PELTZ
SECRETARY
1932 SOUTH WELLER AVENUE
SPRINGFIELD MO 65804-2338

Organization’s website WWW.BLINDGRILLING.COM
Organization’s email BLINDGRILLING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K50 - Home Economics
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 Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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