FORM 1023-EZ for BLOOMING MOON INC

Field Data
EIN 86-3888187
Case Number EO-2021244-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOOMING MOON INC
Organization’s Mailing Address 21670 PENNSYLVANIA 29
City MONTROSE
State PA
ZIP 18801
Accounting period End 12
Primary contact name AMANDA KEMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA KEMP
PRESIDENT
21670 PA 29
MONTROSE PA 18801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMANDA KEMP
Signature Title PRESIDENT
Signature Date 8/30/2021

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