FORM 1023-EZ for BLUE STREAM HOMES INC

Field Data
EIN 82-0730140
Case Number EO-2017079-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE STREAM HOMES INC
Organization’s Mailing Address 2525 AUBURN AVE STE D 291
City COLUMBUS
State GA
ZIP 31906
Accounting period End 12
Primary contact name ERIC ARMOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON AVERETT
PRESIDENT/CEO
2742 SAWGRASS LN
PHENIX CITY AL 36867

Officer/Director/Trustee Two

ERIC ARMOUR
VICE PRESIDENT
1988 W 15TH ST
JACKSONVILLE FL 32209

Officer/Director/Trustee Three

MENZIE OWENS
CHAIRMAN
416 FONTAINE RD
PHENIX CITY AL 36869

Officer/Director/Trustee Four

EDDIE LOWE
DIRECTOR
1000 13TH ST
PHENIX CITY AL 36867

Officer/Director/Trustee Five

TIMOTHY CRUMBLEY
DIRECTOR
3575 MACON RD STE 20
COLUMBUS GA 31907

Organization’s website
Organization’s email EBA@BLUESTREAMHOMES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial Care
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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