FORM 1023-EZ for THE BLU CRESCENT FOUNDATION

Field Data
EIN 84-2237421
Case Number EO-2019182-000422
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLU CRESCENT FOUNDATION
Organization’s Mailing Address 1102 A STREET BOX 651
City TACOMA
State WA
ZIP 98401
Accounting period End 12
Primary contact name EVERETT BOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH MOORE
PRESIDENT
1000 LENORA STREET BOX 287
SEATTLE WA 98121-2958

Officer/Director/Trustee Two

ANTHONY BUCHANAN
VICE PRESIDENT
8830 2ND AVENUE SEATTLE WA 98108
SEATTLE WA 98108-4501

Officer/Director/Trustee Three

EVERETT BOND
SECRETARY
29715 4TH AVENUE S
FEDERAL WAY WA 98003-3621

Officer/Director/Trustee Four

JIMMIE WIMBERLY
TREASURER
2345 PLEASANTON CT SE
LACEY WA 98503-3410

Officer/Director/Trustee Five

TILLERY WILLIAMS RICHARDSON
NOTARY
15512 81ST AVENUE CT E
PUYALLUP WA 98375-6836

Organization’s website THEBLUFOUNDATION.ORG
Organization’s email 501C3@TACOMASIGMAS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 Yes
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 EVERETT BOND
Signature Title SECRETARY
Signature Date 6/27/19

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