FORM 1023-EZ for BLUE BUFFALO SPECTRUM OF THE HEARTINC

Field Data
EIN 81-3523890
Case Number EO-2016228-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE BUFFALO SPECTRUM OF THE HEARTINC
Organization’s Mailing Address 1539 POWELLS TAVERN PLACE
City HERNDON
State VA
ZIP 20170-2832
Accounting period End 12
Primary contact name JOAN CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOAN CLARK
TREASURER
1539 POWELLS TAVERN PL
HERNDON VA 20170-2832

Officer/Director/Trustee Two

LAKOTA FRAZIER
CHIEF DIRECTOR
9725 PORTERFIELD HWY
ABINGDON VA 24210-4815

Officer/Director/Trustee Three

LIAMA DEAN
VICE PRESIDENT
353 GARRISON PL
VA BEACH VA 23452-5436

Officer/Director/Trustee Four

NORMA ANDES
PRESIDENT
30375 COLLOSSE RD
CARRSVILLE VA 23315-3125

Officer/Director/Trustee Five

RICHARD MARTEN
DIRECTOR
212 74TH ST
VA BEACH VA 23451-1908

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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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