FORM 1023-EZ for THE BLUE DEVIL FOUNDATION

Field Data
EIN 84-4996077
Case Number EO-2020295-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLUE DEVIL FOUNDATION
Organization’s Mailing Address 1683 ROAD 11
City SEDAN
State KS
ZIP 67361
Accounting period End 12
Primary contact name REBECCA STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENTON DICKENS
PRESIDENT
215 LEE STREET
SEDAN KS 67361

Officer/Director/Trustee Two

JILL GRAY
TREASURER
PO BOX 24
SEDAN KS 67361

Officer/Director/Trustee Three

JASON BLACK
SECRETARY
615 EAST WALNUT
SEDAN KS 67361

Officer/Director/Trustee Four

REBECCA STEWART
EXECUTIVE DIRECTOR
1683 ROAD 11
SEDAN KS 67361

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2020
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA STEWART
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/12/2020

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