FORM 1023-EZ for BLUE BLAZES INC

Field Data
EIN 84-2433057
Case Number EO-2020196-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE BLAZES INC
Organization’s Mailing Address PO BOX 2055
City PAHOA
State HI
ZIP 96778
Accounting period End 12
Primary contact name COREY HALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COREY HALE
PRESIDENT, CHIEF FINANCIAL OFFICER
PO BOX 2055
PAHOA HI 96778

Officer/Director/Trustee Two

SEAN HALE
CHAIRPERSON OF THE GOVERNING BODY
6423 PLEASANT VALLEY ROAD 12
EL DORADO CA 95623

Officer/Director/Trustee Three

WENDI HART
CONTRIBUTOR
72 NORTHWOOD COMMONS PLACE
CHICO CA 95973

Officer/Director/Trustee Four

SHERRY BOYER
OFFICER
2302 CYGNUS WAY
SPARKS NV 89441

Officer/Director/Trustee Five

STEPHEN WILKINSON
RELATED TO CONTRIBUTOR
2302 CYGNUS WAY
SPARKS NV 89441

Organization’s website
Organization’s email BEDOUINEBABE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2019
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V30 - Interdisciplinary Research
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 COREY HALE
Signature Title PRESIDENT, CHIEF FINANCIAL OFFICER
Signature Date 6/12/2020

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