FORM 1023-EZ for PACIFIC BLUE ORGANICS INC

Field Data
EIN 85-3444326
Case Number EO-2021026-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PACIFIC BLUE ORGANICS INC
Organization’s Mailing Address PO BOX 55162
City LONG BEACH
State CA
ZIP 90805
Accounting period End 12
Primary contact name EMERALD BROOKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMERALD BROOKE
PRESIDENT/DIRECTOR/TREASURER
101 E MARKET STREET 55162
LONG BEACH CA 90805

Officer/Director/Trustee Two

JAMES HONEYSUCKER
SECRETARY
4100 SPRINGS LANE UNIT E
PEACHTREE CORNERS GA 30092

Organization’s website
Organization’s email PACIFICBLUEORGANICS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EMERALD BROOKE
Signature Title PRESIDENT/DIRECTOR/TREASURER
Signature Date 12/3/2020

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