FORM 1023-EZ for BLUE AND WHITE FOUNDATION

Field Data
EIN 47-2682010
Case Number EO-2020279-000070
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE AND WHITE FOUNDATION
Organization’s Mailing Address 11634 SOUTH OAKLEY AVENUE
City CHICAGO
State IL
ZIP 60643
Accounting period End 12
Primary contact name ARTHUR DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARTHUR DAVIS
PRESIDENT
11634 SOUTH OAKLEY AVENUE
CHICAGO IL 60643

Officer/Director/Trustee Two

BYRON ROBBINS
TREASURER
15212 SUNSET DRIVE
DOLTON IL 60419

Officer/Director/Trustee Three

WARREN WILLIAMS
SECRETARY
7350 SOUTH BENNETT AVENUE
CHICAGO IL 60619

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 Yes
Correctness Declaration Yes
Signature Name ARTHUR DAVIS
Signature Title PRESIDENT
Signature Date 10/3/2020
EIN 47-2682010
Case Number EO-2015113-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE AND WHITE FOUNDATION
Organization’s Mailing Address 11634 SOUTH OAKLEY AVENUE
City CHICAGO
State IL
ZIP 60643
Accounting period End 12
Primary contact name ARTHUR DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ARTHUR DAVIS
PRESIDENT
11634 SOUTH OAKLEY
CHICAGO IL 60643

Officer/Director/Trustee Two

WARREN WILLIAMS
TREASURER
3561 SOUTH KING DRIVE BASMT
CHICAGO IL 60653

Officer/Director/Trustee Three

BYRON ROBBINS
SECRETARY
15212 SUNSET DRIVE
DOLTON IL 60419

Organization’s website BNWFOUNDATION.ORG
Organization’s email ARTHUR.DAVIS@BNWFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, 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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