FORM 1023-EZ for BLUE HOUSE MINISTRY

Field Data
EIN 83-4417784
Case Number EO-2019186-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE HOUSE MINISTRY
Organization’s Mailing Address 309 RYE ST
City ROUND ROCK
State TX
ZIP 78664
Accounting period End 12
Primary contact name SASHA FLORES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SASHA FLORES
PRESIDENT/CHAIR
309 RYE ST
ROUND ROCK TX 78664

Officer/Director/Trustee Two

DEANNA FLORES
VICE PRESIDENT
2618 PEARSON WAY
ROUND ROCK TX 78665

Officer/Director/Trustee Three

LETICIA TORRES
SECRETARY
1519 BLACK LOCUST DR
PFLUGERVILLE TX 78660

Officer/Director/Trustee Four

MALLORY SCOTT
TREASURER
1012 LAURELLEAF DR
PFLUGERVILLE TX 78660

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 SASHA FLORES
Signature Title PRESIDENT/CHAIR
Signature Date 7/2/19

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