FORM 1023-EZ for BLOCKCHAIN FOR SUSTAINABLE DEVELOPMENT

Field Data
EIN 82-5517856
Case Number EO-2018144-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOCKCHAIN FOR SUSTAINABLE DEVELOPMENT
Organization’s Mailing Address 3343 LARIMER STREET SUITE 500
City DENVER
State CO
ZIP 80205
Accounting period End 12
Primary contact name JEREMY S GOLDSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY S GOLDSTEIN
EXECUTIVE DIRECTOR
3343 LARIMER STREET SUITE 500
DENVER CO 80205

Officer/Director/Trustee Two

KYLEN MCCLINTOCK
MEDIA AND COMMUNITY DIRECTOR
1441 LITTLE RAVEN ST APT 14002
DENVER CO 80205

Organization’s website WWW.B4SD.ORG
Organization’s email JEREMY@B4SD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S41 - Promotion of Business
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 JEREMY S GOLDSTEIN
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/22/18

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