FORM 1023-EZ for BREVARD COUNTY BLUE WIVES INC

Field Data
EIN 81-3471856
Case Number EO-2016231-000383
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREVARD COUNTY BLUE WIVES INC
Organization’s Mailing Address 333 WELLWOOD ST SW
City PALM BAY
State FL
ZIP 32908
Accounting period End 12
Primary contact name DEBORAH J LIVINGSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTAL BEHRINGER
PRESIDENT
333 WELLWOOD ST SW
PALM BAY FL 32908

Officer/Director/Trustee Two

DEBORAH LIVINGSTON
TREASURER
4652 CREW CIRCLE APT 4
MELBOURNE FL 32904

Officer/Director/Trustee Three

CYNDI POTENZIANI
SECRETARY
2877 SEBASTIAN LANE
MELBOURNE FL 32935

Officer/Director/Trustee Four

FEATHER HAWKINS
VICE PRESIDENT
731 HIGHLAND AVE NW
PALM BAY FL 32907

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
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 No
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
Signature Title
Signature Date

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