FORM 1023-EZ for BLUE INSTITUTE AT CAPE COD INCORPORATED

Field Data
EIN 81-4337867
Case Number EO-2018330-000008
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE INSTITUTE AT CAPE COD INCORPORATED
Organization’s Mailing Address 3010 MAIN ST C/O EUGENE CURRY - ESQ
City BARNSTABLE
State MA
ZIP 2630
Accounting period End 12
Primary contact name JUDITH UNDERWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDITH UNDERWOOD
PRESIDENT
220 SISSON ROAD
HARWICH MA 2645

Officer/Director/Trustee Two

ELIZABETH HARDER
CLERK
88 PLEASANT LAKE AVE
HARWICH MA 2645

Officer/Director/Trustee Three

MARK WATSON
DIRECTOR
233 WACKER DR
CHICAGO IL 60606

Officer/Director/Trustee Four

ROBERT CIOLEK
DIRECTOR
325 GREEN DUNES DRIVE
WEST HYANNISPORT MA 2672

Officer/Director/Trustee Five

YUKI HONJO
DIRECTOR
121 BERNARD ST JEAN DR
EAST FALMOUTH MA 2536

Organization’s website WWW.BLUEINSTITUTE.ORG
Organization’s email INFO@BLUEINSTITUTE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/16
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 JUDITH UNDERWOOD
Signature Title PRESIDENT
Signature Date 11/21/18

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