FORM 1023-EZ for BLM COMMUNITY OUTREACH INC

Field Data
EIN 85-1152495
Case Number EO-2020163-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLM COMMUNITY OUTREACH INC
Organization’s Mailing Address 4152 BANBURY CIR
City PARRISH
State FL
ZIP 34219-7514
Accounting period End 12
Primary contact name MONIQUE PLAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONIQUE PLAIR
PRESEIDENT
4152 BANBURY CIR
PARRISH FL 34219-7514

Officer/Director/Trustee Two

CECIL DAWKINS
SECRETARY
4152 BANBURY CIR
PARRISH FL 34219-7514

Officer/Director/Trustee Three

JACQUELINE BUTLER
TREASURER
3528 GULF CITY RD
RUSKIN FL 33570-2643

Organization’s website WWW.BLMOUTREACH.US
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 MONIQUE PLAIR
Signature Title PRESEIDENT
Signature Date 6/9/2020

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