FORM 1023-EZ for BLUESCHATTANOOGA

Field Data
EIN 84-3177253
Case Number EO-2019273-000318
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUESCHATTANOOGA
Organization’s Mailing Address 1206 CONSTITUTION DR
City CHATTANOOGA
State TN
ZIP 37405
Accounting period End 12
Primary contact name CLARK WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARK WHITE
DIRECTOR
1206 CONSTITUTION DR
CHATTANOOGA TN 37405

Officer/Director/Trustee Two

KAREN DIAMOND
SECRETARY
1206 CONSTITUTION DR
CHATTANOOGA TN 37405

Organization’s website BLUESCHATTANOOGA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A90 - Arts Service Organizations and Activities
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 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 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 CLARK WHITE
Signature Title DIRECTOR
Signature Date 9/26/19

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