FORM 1023-EZ for THE BLUE LINE FOUNDATION

Field Data
EIN 81-1828583
Case Number EO-2016095-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BLUE LINE FOUNDATION
Organization’s Mailing Address 3800 TRESTLE GLEN CT
City CAMERON PARK
State CA
ZIP 95608
Accounting period End 12
Primary contact name STEPHEN HART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN HART
PRESIDENT, DIRECTOR
3800 TRESTLE GLEN CT
CAMERON PARK CA 95608

Officer/Director/Trustee Two

MAURICE OHEARN
TREASURER, DIRECTOR
1390 BROADWAY STE 332
PLACERVILLE CA 95667

Officer/Director/Trustee Three

WILLIAM AMES
SECRETARY, DIRECTOR
3537 FOXMORE LN
RESCUE CA 95672

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 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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