FORM 1023-EZ for BLUE LINE OUTREACH

Field Data
EIN 82-1285238
Case Number EO-2017116-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE LINE OUTREACH
Organization’s Mailing Address 510 WARREN STREET
City MOUNTAIN VIEW
State AR
ZIP 72560
Accounting period End 12
Primary contact name BOBBY DAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOBBY DAY
PRESIDENT
510 WARREN STREET
MOUNTAIN VIEW AR 72560

Officer/Director/Trustee Two

RACHEL DAY
TREASURER
510 WARREN STREET
MOUNTAIN VIEW AR 72560

Officer/Director/Trustee Three

JEREMY BEAUDIN
VICE-PRESIDENT
809 WARREN STREET
MOUNTAIN VIEW AR 72560

Officer/Director/Trustee Four

RICHARD CROME
SECRETARY
1005 BRIARWOOD STREET
MOUNTAIN VIEW AR 72560

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2017
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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 Yes
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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