FORM 1023-EZ for THE BLUE EYES PROJECT

Field Data
EIN 83-0786739
Case Number EO-2018179-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLUE EYES PROJECT
Organization’s Mailing Address 10655 NE 132ND PL
City KIRKLAND
State WA
ZIP 98034
Accounting period End 12
Primary contact name KARI CEDENO BETANCOURT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARI CEDENO BETANCOURT
OFFICER
10655 NE 132ND PL
KIRKLAND WA 98034

Officer/Director/Trustee Two

EDUARDO CEDENO-BETANCOURT
DIRECTOR
10655 NE 132ND PL
KIRKLAND WA 98034

Officer/Director/Trustee Three

KATHY SCOTT
TRUSTEE
18719 101ST AVE NE
BOTHELL WA 98011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
Conducting Activities Outside of United States Yes
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 KARI CEDENO BETANCOURT
Signature Title OFFICER
Signature Date 6/26/18

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