FORM 1023-EZ for BLESST INC

Field Data
EIN 82-1573397
Case Number EO-2017174-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLESST INC
Organization’s Mailing Address 2191 MEMORIAL DR O142
City CLARKSVILLE
State TN
ZIP 37043
Accounting period End 2
Primary contact name TERRANCE AKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRANCE AKINS
PRESIDENT
2191 MEMORIAL DR O142
CLARKSVILLE TN 37043

Officer/Director/Trustee Two

ALVIANCA MCLEMORE
TREASURE
497 ELYSIAN FIELDS RD A7
NASHVILLE TN 37211

Officer/Director/Trustee Three

BRANDY BEANS
SECRETARY
12530 ANGEL LAKE DR W
JACKSONVILLE FL 32218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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