FORM 1023-EZ for BLUE WIVES OF IDAHO

Field Data
EIN 82-3049266
Case Number EO-2017289-000420
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE WIVES OF IDAHO
Organization’s Mailing Address 6216 W STATE STREET STE 308
City BOISE
State ID
ZIP 83703
Accounting period End 12
Primary contact name STACIE ANTHONY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACIE ANTHONY
PRESIDENT
6216 W STATE ST STE 308
BOISE ID 83703

Officer/Director/Trustee Two

AMI OGORAM
TREASURER
537 N RIPPERLOCK PLACE
STAR ID 83669

Officer/Director/Trustee Three

JEANNETTE WALLINGFORD
VICE PRESIDENT
1996 MOUNTAIN POINTE AVE
NAMPA ID 83651

Officer/Director/Trustee Four

AMANDA ORNELAS
SECRETARY
PO BOX 3833
HAILEY ID 83333

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2017
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T23 - Private Operating Foundations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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