FORM 1023-EZ for POKEBLUE

Field Data
EIN 86-1430352
Case Number EO-2021078-001161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POKEBLUE
Organization’s Mailing Address PO BOX 371
City AUMSVILLE
State OR
ZIP 97325
Accounting period End 12
Primary contact name MONICA CROCKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA CROCKETT
PRESIDENT
910 OLNEY ST SE
AUMSVILLE OR 97325

Officer/Director/Trustee Two

MONICA CROCEKTT
TREASURER
910 OLNEY ST
AUMSVILLE OR 97325

Officer/Director/Trustee Three

MONICA CROCKETT
GOVERNING BODY
910 OLNEY ST SE
AUMSVILLE OR 97325

Organization’s website pokeblue.org
Organization’s email pokeblue.info@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2021
Organization Incorporation State OR
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: 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 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 Yes
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 MONICA CROCKETT
Signature Title PRESIDENT
Signature Date 1/22/2021

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