FORM 1023-EZ for BLUE ANGEL OF HOPE

Field Data
EIN 82-0993900
Case Number EO-2017125-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE ANGEL OF HOPE
Organization’s Mailing Address 1428 IRIS DR
City LODI
State CA
ZIP 95242
Accounting period End 12
Primary contact name KRISTEN MILLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTEN MILLARD
FOUNDER/CEO
1428 IRIS DRIVE
LODI CA 95242

Officer/Director/Trustee Two

LAVONNE MEYER
TREASURER
1428 IRIS DRIVE
LODI CA 95242

Officer/Director/Trustee Three

SUSAN JUTRAS
BOARD MEMBER
7 BLACK ALDER TRAIL
LODI CA 95242

Officer/Director/Trustee Four

TANYA ANDERSON
BOARD MEMBER
2126 CRADLE COURT
STOCKTON CA 95206

Officer/Director/Trustee Five

TONY GARCIA
BOARD MEMBER
702 N WASHINGTON AVE
MADISON SD 57042

Organization’s website HTTPS//WWW.BLUEANGELOFHOPE.COM
Organization’s email BLUEANGELOFHOPE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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