FORM 1023-EZ for BLUEJACKET FOUNDATION INC

Field Data
EIN 82-1385464
Case Number EO-2017181-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUEJACKET FOUNDATION INC
Organization’s Mailing Address 15031 OAK SPRING DR
City FONTANA
State CA
ZIP 92336-5532
Accounting period End 12
Primary contact name CHRISTOPHER PADILLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER PADILLA
CHIEF EXECUTIVE OFFICER
15031 OAK SPRING DR
FONTANA CA 92336-5532

Officer/Director/Trustee Two

NADIA LUNA
CHIEF FINANCIAL OFFICER
336 N CHANTILLY ST
ANAHEIM CA 92806-3212

Officer/Director/Trustee Three

NADIA LUNA
SECRETARY
336 N CHANTILLY ST
ANAHEIM CA 92806-3212

Organization’s website HTTP://BLUEJACKET.FOUNDATION
Organization’s email CHRISTOPHER.PADILLA@BLUEJACKET.FOUNDATION
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
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 Yes
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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