FORM 1023-EZ for CLEAN BLUE FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-3691341 |
| Case Number | EO-2018064-000180 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CLEAN BLUE FOUNDATION |
| Organization’s Mailing Address | 6952 VINTAGE LN |
| City | PORT ORANGE |
| State | FL |
| ZIP | 32128 |
| Accounting period End | 12 |
| Primary contact name | ROB STEELE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROB STEELE
OFFICER
6952 VINTAGE LN
PORT ORANGE FL 32128
Officer/Director/Trustee Two
JESSE CROSSAN
OFFICER
6952 VINTAGE LN
PORT ORANGE FL 32128
| Organization’s website | WWW.CLEANBLUE.ORG |
|---|---|
| Organization’s email | RSTEELE@CLEANBLUE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/8/15 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | C32 - Water Resource, Wetlands Conservation and Management |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ROB STEELE |
| Signature Title | OFFICER |
| Signature Date | 3/1/18 |
| EIN | 47-3691341 |
| Case Number | EO-2015105-000248 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CLEAN BLUE FOUNDATION |
| Organization’s Mailing Address | 1426 HARBOUR WALK RD |
| City | TAMPA |
| State | FL |
| ZIP | 33602 |
| Accounting period End | 4 |
| Primary contact name | KATE JEPSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
KATE JEPSON
CEO
1426 HARBOUR WALK ROAD
TAMPA FL 33602
Officer/Director/Trustee Two
JESSE CROSSAN
COO
1120 E KENNEDY BLVD
TAMPA FL 33602
Officer/Director/Trustee Three
ROB STEELE
CIO
6952 VINTAGE LANE
PORT ORANGE FL 32128
| Organization’s website | WWW.CLEANBLUE.ORG |
|---|---|
| Organization’s email | INFO@CLEANBLUE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/8/2015 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | C32 - Water Resource, Wetlands Conservation and Management |
| 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 | |
| Signature Title | |
| Signature Date |
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