FORM 1023-EZ for THE BLUE LADY BUG INC

Field Data
EIN 87-1850672
Case Number EO-2021270-000403
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLUE LADY BUG INC
Organization’s Mailing Address 221 N HOGAN STREET 348
City JACKSONVILLE
State FL
ZIP 32202
Accounting period End 12
Primary contact name EDITH INMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ATHEIA INMAN
CEO
221 N HOGAN STREET 348
JACKSONVILLE FL 32202

Officer/Director/Trustee Two

A B INMAN
CFO
221 N HOGAN STREET 348
JACKSONVILLE FL 32202

Officer/Director/Trustee Three

ANTHONY INMAN
COO
221 N HOGAN STREET 348
JACKSONVILLE FL 32202

Officer/Director/Trustee Four

EDITH INMAN
COO
221 N HOGAN STREET 348
JACKSONVILLE FL 32202

Officer/Director/Trustee Five

ENARIS INMAN
CCO
221 N HOGAN STREET 348
JACKSONVILLE FL 32202

Organization’s website
Organization’s email EDITHL@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Correctness Declaration Yes
Signature Name EDITH INMAN
Signature Title COO
Signature Date 9/23/2021

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