FORM 1023-EZ for WHITE BLOSSOM FOUNDATION

Field Data
EIN 86-2483885
Case Number EO-2021119-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITE BLOSSOM FOUNDATION
Organization’s Mailing Address 1808 MONTGOMERY AVENUE
City VILLANOVA
State PA
ZIP 19085
Accounting period End 12
Primary contact name TOBIAS NUBBEMEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOBIAS NUBBEMEYER
MR
1808 MONTGOMERY AVENUE
VILLANOVA PA 19085

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TOBIAS NUBBEMEYER
Signature Title MR
Signature Date 4/28/2021

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