| Field | Data |
|---|---|
| EIN | 47-4982113 |
| Case Number | EO-2016015-000463 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SAMARITAN BLUE INC |
| Organization’s Mailing Address | 165 BOUGANVILLA DRIVE |
| City | PONTE VEDRA BEACH |
| State | FL |
| ZIP | 32082 |
| Accounting period End | 12 |
| Primary contact name | TONI M CHRABOT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
TONI CHRABOT
BOARD CHAIR
165 BOUGANVILLA DRIVE
PONTE VEDRA BEACH FL 32082
ALLEN HORNE
FINANCE CHAIR
109 SHELL BLUFF COURT
PONTE VEDRA BEACH FL 32082
CHELSEA NEWBERG
PUBLIC RELATIONS CHAIR
1 MEADOW LANE
BUDD LAKE NJ 07828
DIANA MOYET-TREROTOLA
BOARD MEMBER
18532 224TH AVENUE NW
BIG LAKE MN 55309
| Organization’s website | WWW.SAMARITANBLUE.COM |
|---|---|
| Organization’s email | INFO@SAMARITANBLUE.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/27/2015 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | R01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | 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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