Blue Flame v. Chain Bridge — Gula Email Forwarding Blue Flame EIN (Exhibit 103)
- Date
- 2021-05-20
Summary
Exhibit 103 in Blue Flame v. Chain Bridge, filed May 20, 2021 as Document 150-19 in Case 1:20-cv-00658-LMB-IDD. The nine-page exhibit opens with an email sent by Gula on March 25, 2020 to a Chain Bridge Bank address, forwarding an attorney's reply to a request for Blue Flame Medical LLC's EIN and registration, with the note that it was for the bank. The attachments that follow are an IRS notice assigning Blue Flame Medical LLC an Employer Identification Number, a Delaware Certificate of Formation for the company filed March 23, 2020, and Delaware Secretary of State certificates of that filing and of the company's good standing. The pages are stamped confidential.
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Case 1:20-cv-00658-LMB-IDD Document 150-19 Filed 05/20/21 Page 1 of 9 PageID#
3797
EXHIBIT 103
a
To: Case
Mariano1:20-cv-00658-LMB-IDD Document 150-19
Castagnello[mcastagnellogchainbridgebank.com] Filed 05/20/21 Page 2 of 9EXHIBIT
PageID#
exhibitsticker.com
EXHIBIT §
From: Mike Gula 3798
Sent: Wed 3/25/2020 1:09:49 PM
Subject: Fwd: need BF Medical EIN/registration Defendant's
Defendant's 47
47 M
CP575Notice 1585090558544.pdf
ATT00001.htm
3-23-20 - DE - Initial Filing - Blue Flame Medical LLC.pdf
ATT00002.htm
CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and
know the content is safe.
Blueflame medical
Begin forwarded message:
From: Ethan Bearman
Date: March 25, 2020 at 8:01:54 AM EDT
To: Mike Gula , John Thomas , Jennilee Brown
Subject: Re: need BF Medical EIN/registration
Attached.
Ethan Bearman, Esq.
The Bearman Firm
Phone: (747)BEARMAN -- (747)232-7626
Direct Phone Line: (747)202-1433
Fax: (747)344-1004
DISCLAIMER: This message w/attachments (message) is intended solely for the use of the intended
recipient(s) and may contain information that is privileged, confidential or proprietary. If you are not
an intended recipient, please notify the sender, and then please delete and destroy all copies and
attachments, and be advised that any review or dissemination of, or the taking of any action in reliance
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"Sender" are references to The Bearman Firm or Ethan Bearman, Esq. Attachments that are part of this
EC may have additional important disclosures and disclaimers, which you should read. This message is
subject to privacy policy available at the following link: https://thebearmanfirm.com/privacy-policy. By
messaging with Sender you consent to the foregoing.
On Wed, Mar 25, 2020 at 4:14 AM, Mike Gula <mike@blueflame.agency> wrote:
for the bank
CONFIDENTIAL CBB00002563
Case 1:20-cv-00658-LMB-IDD Document 150-19 Filed 05/20/21 Page 3 of 9 PageID#
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CONFIDENTIAL CBB00002564
Case 1:20-cv-00658-LMB-IDD Document 150-19 Filed 05/20/21 Page 4 of 9 PageID#
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11)pcZDEPARTMENT OF THE TREASURY
I-"J/INTERNAL REVENUE SERVICE
CINCINNATI OH 45999-0023
Date of this notice: 03-24-2020
Employer Identification Number:
85-0515199
Form: SS-4
Number of this notice: CP 575 A
BLUE FLAME MEDICAL LLC
MICHAEL GULA MBR
499 S CAPITOL ST SW STE 420 For assistance you may call us at:
WASHINGTON, DC 20003 1-800-829-4933
IF YOU WRITE, ATTACH THE
STUB AT THE END OF THIS NOTICE.
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
Thank you for applying for an Employer Identification Number (EIN). We assigned you
EIN 85-0515199. This EIN will identify you, your business accounts, tax returns, and
documents, even if you have no employees. Please keep this notice in your permanent
records.
When filing tax documents, payments, and related correspondence, it is very important
that you use your EIN and complete name and address exactly as shown above. Any variation
may cause a delay in processing, result in incorrect information in your account, or even
cause you to be assigned more than one EIN. If the information is not correct as shown
above, please make the correction using the attached tear off stub and return it to us.
Based on the information received from you or your representative, you must file
the following form(s) by the date(s) shown.
Form 941 07/31/2020
Form 940 01/31/2021
Form 1065 03/15/2021
If you have questions about the form(s) or the due date(s) shown, you can call us at
the phone number or write to us at the address shown at the top of this notice. If you
need help in determining your annual accounting period (tax year), see Publication 538,
Accounting Periods and Methods.
We assigned you a tax classification based on information obtained from you or your
representative. It is not a legal determination of your tax classification, and is not
binding on the IRS. If you want a legal determination of your tax classification, you may
request a private letter ruling from the IRS under the guidelines in Revenue Procedure
2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note:
Certain tax classification elections can be requested by filing Form 8832, Entity
Classification Election. See Form 8832 and its instructions for additional information.
A limited liability company (LLC) may file Form 8832, Entity Classification
Election, and elect to be classified as an association taxable as a corporation. If
the LLC is eligible to be treated as a corporation that meets certain tests and it
will be electing S corporation status, it must timely file Form 2553, Election by a
Small Business Corporation. The LLC will be treated as a corporation as of the
effective date of the S corporation election and does not need to file Form 8832.
CONFIDENTIAL CBB00002565
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(IRS USE ONLY) 575A 03-24-2020 BLUE B 9999999999 SS-4
If you are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945,
CT-1, or 1042), excise taxes (Form 720), or income taxes (Form 1120), you will receive a
Welcome Package shortly, which includes instructions for making your deposits
electronically through the Electronic Federal Tax Payment System (EFTPS). A Personal
Identification Number (PIN) for EFTPS will also be sent to you under separate cover.
Please activate the PIN once you receive it, even if you have requested the services of a
tax professional or representative. For more information about EFTPS, refer to
Publication 966, Electronic Choices to Pay All Your Federal Taxes. If you need to
make a deposit immediately, you will need to make arrangements with your Financial
Institution to complete a wire transfer.
The IRS is committed to helping all taxpayers comply with their tax filing
obligations. If you need help completing your returns or meeting your tax obligations,
Authorized e-file Providers, such as Reporting Agents (payroll service providers) are
available to assist you. Visit the IRS Web site at www.irs.gov for a list of companies
that offer IRS e-file for business products and services. The list provides addresses,
telephone numbers, and links to their Web sites.
To obtain tax forms and publications, including those referenced in this notice,
visit our Web site at www.irs.gov. If you do not have access to the Internet, call
1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office.
IMPORTANT REMINDERS:
Keep a copy of this notice in your permanent records. This notice is issued only
one time and the IRS will not be able to generate a duplicate copy for you. You
may give a copy of this document to anyone asking for proof of your EIN.
Use this EIN and your name exactly as they appear at the top of this notice on all
your federal tax forms.
Refer to this EIN on your tax-related correspondence and documents.
If you have questions about your EIN, you can call us at the phone number or write to
us at the address shown at the top of this notice. If you write, please tear off the stub
at the bottom of this notice and send it along with your letter. If you do not need to
write us, do not complete and return the stub.
Your name control associated with this EIN is BLUE. You will need to provide this
information, along with your EIN, if you file your returns electronically.
Thank you for your cooperation.
CONFIDENTIAL CBB00002566
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(IRS USE ONLY) 575A 03-24-2020 BLUE B 9999999999 SS-4
Keep this part for your records. CP 575 A (Rev. 7-2007)
Return this part with any correspondence
so we may identify your account. Please CP 575 A
correct any errors in your name or address.
9999999999
Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 03-24-2020
EMPLOYER IDENTIFICATION NUMBER: 85-0515199
FORM: SS-4 NOBOD
INTERNAL REVENUE SERVICE BLUE FLAME MEDICAL LLC
CINCINNATI OH 45999-0023 MICHAEL GULA MBR
1.11.1.1.1.1.11.1.11.1.11.11.1.11 lllll 1.11.11.1.11.1 499 S CAPITOL ST SW STE 420
WASHINGTON, DC 20003
CONFIDENTIAL CBB00002567
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3803
Delaware Page 1
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF FORMATION OF "BLUE FLAME MEDICAL
LLC" , FILED IN THIS OFFICE ON THE TWENTY—THIRD DAY OF MARCH,
A.D. 2020, AT 12 : 15 O'CLOCK P.M.
7911342 8100 Authentication: 202637934
SR# 20202308492 Date: 03-23-20
You may verify this certificate online at corp.delaware.gov/authver.shtml
CONFIDENTIAL CBB00002569
Case 1:20-cv-00658-LMB-IDD Document 150-19 Filed 05/20/21 Page 8 of 9 PageID#
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STATE of DELAWARE
LIMITED LIABILITY COMPANY
CERTIFICATE of FORMATION
FIRST
Name
The name of the limited liability company is:
Blue Flame Medical LLC
SECOND
Registered Agent
The address of its registered office in the State of Delaware is
8 The Green, Suite A in the City of Dover. Zip code 19901.
The name of its registered agent at such address is
A Registered Agent, Inc.
THIRD
Duration
The duration of the limited liability company shall be perpetual.
FOURTH
Purpose
The purpose for which the company is organized is to conduct any
and all lawful business for which Limited Liability Companies can
be organized pursuant to Delaware statute.
In Witness Whereof, the undersigned have executed this
Certificate of Formation this 2 3 rd day of March, 2020.
By:
Authorized Person
Name: Patrick Brickhouse
State of Delaware
Secretary of State
Division of Corporations
Delivered 12:15 PM 03/23/2020
FILED 12:15 PM 03/23/2020
SR 20202307821 - FileNumber 7911342
CONFIDENTIAL CBB00002570
Case 1:20-cv-00658-LMB-IDD Document 150-19 Filed 05/20/21 Page 9 of 9 PageID#
3805
Delaware The First State
Page 1
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY "BLUE FLAME MEDICAL LLC" IS DULY FORMED
UNDER THE LAWS OF THE STATE OF DELAWARE AND IS IN GOOD STANDING AND
HAS A LEGAL EXISTENCE SO FAR AS THE RECORDS OF THIS OFFICE SHOW, AS
OF THE TWENTY—THIRD DAY OF MARCH, A.D. 2020.
AND I DO HEREBY FURTHER CERTIFY THAT THE SAID "BLUE FLAME
MEDICAL LLC" WAS FORMED ON THE TWENTY—THIRD DAY OF MARCH, A.D.
2020.
AND I DO HEREBY FURTHER CERTIFY THAT THE ANNUAL TAXES HAVE BEEN
ASSESSED TO DATE.
7911342 8300 Authentication: 202637935
SR# 20202308492 Date: 03-23-20
You may verify this certificate online at corp.delaware.gov/authver.shtml
CONFIDENTIAL CBB00002571
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