FORM 1023-EZ for BLUE MOUNTAIN MONASTERY

Field Data
EIN 45-5272481
Case Number EO-2016204-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE MOUNTAIN MONASTERY
Organization’s Mailing Address 4025 MCGINNIS FERRY ROAD APT 1321
City SUWANEE
State GA
ZIP 30024-7238
Accounting period End 12
Primary contact name CHRISTINA BAREA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINA BAREA
PRESIDENT
4025 MC GINNIS FERRY ROAD APT 1321
SUWANEE GA 30024-7238

Officer/Director/Trustee Two

JAMES PEYTON YOUNG
SECRETARY
4025 MC GINNIS FERRY ROAD APT 1321
SUWANEE GA 30024-7238

Officer/Director/Trustee Three

BRIAN MORRIS
TREASURER
2736 RAMSEY ROAD
COLUMBUS GA 31903

Organization’s website
Organization’s email BLUEMOUNTAINMONASTERY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2013
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 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
Signature Title
Signature Date

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