FORM 1023-EZ for THE BLUE PHASE INC

Field Data
EIN 83-3360895
Case Number EO-2019056-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLUE PHASE INC
Organization’s Mailing Address 2101 29TH AVE
City ASTORIA
State NY
ZIP 11102
Accounting period End 12
Primary contact name GABRELLIA LERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GABRELLIA LERA
DIRECTOR
2101 29TH AVE
ASTORIA NY 11102

Officer/Director/Trustee Two

HANSWATIE LERA
SECRETARY
2101 29TH AVE
ASTORIA NY 11102

Officer/Director/Trustee Three

BRIAN HALLIDAY
TREASURER
247 COUNTY ROAD 627
MILFORD NJ 8848

Organization’s website WWW.THEBLUEPHASE.ORG
Organization’s email GABRELLIA@THEBLUEPHASE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
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 GABRELLIA LERA
Signature Title DIRECTOR
Signature Date 2/21/19

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