FORM 1023-EZ for BLUELIGHT DEVELOPMENT GROUP INC

Field Data
EIN 81-3475487
Case Number EO-2016235-000026
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUELIGHT DEVELOPMENT GROUP INC
Organization’s Mailing Address 548 MADISON AVENUE NUM 4
City ALBANY
State NY
ZIP 12208
Accounting period End 12
Primary contact name TRAVON T JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVON JACKSON
PRESIDENT
548 MADISION AVE NUM 4
ALBANY NY 12208

Officer/Director/Trustee Two

JUSTIN MYERS
VICE PRESIDENT
95 CRESCENT DRIVE
ALBANY NY 12208

Officer/Director/Trustee Three

BERNARD MOORER
SECRETARY/TREASURER
830 WESTVIEW DR SW NUM 141977
ATLANTA GA 30314

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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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