FORM 1023-EZ for BLEST INC

Field Data
EIN 84-3998288
Case Number EO-2020106-000063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLEST INC
Organization’s Mailing Address 4822 HIGHWAY 22
City WADLEY
State AL
ZIP 36276
Accounting period End 12
Primary contact name LARRY C HOWLETT CPA FORM 2848
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EBONY BATTLE
PRESIDENT
4822 HIGHWAY 22
WADLEY AL 36276

Officer/Director/Trustee Two

KELSEY STAPLES
SECRETARY
500 WEBSTER RD LOT 4
AUBURN AL 36832

Officer/Director/Trustee Three

SAMANTHA BAGGETT
TREASURER
2051 COUNTY ROAD 131
WADLEY AL 36276

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 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 SAMANTHA BAGGETT
Signature Title TREASURER
Signature Date 4/13/2020

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