FORM 1023-EZ for FLOURISHED INC

Field Data
EIN 86-2477289
Case Number EO-2021162-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLOURISHED INC
Organization’s Mailing Address PO BOX 286
City ROPER
State NC
ZIP 27970-0286
Accounting period End 12
Primary contact name DORMEKYA CLARK BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORMEKYA CLARK BROOKS
PRESIDENT
107 FOUNTAIN OF LIFE BLVD
ROPER NC 27970-0286

Officer/Director/Trustee Two

LATOYA BREWINGTON
VICE PRESIDENT
PO BOX 7446
WILSON NC 27895-7446

Officer/Director/Trustee Three

CHELSEA WIGGINS
SECRETARY
1610 WIMBLEDON DR APT 101
GREENVILLE NC 27858-5359

Officer/Director/Trustee Four

SHANNA PHELPS
TREASURER
105 VIRGINIA PINE DR
PLYMOUTH NC 27962-9530

Organization’s website WWW.FLOURISHEDINC.ORG
Organization’s email SHEFLOURISHEDINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2021
Organization Incorporation State NC
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: Yes
Religious: No
Educational: Yes
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 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 DORMEKYA CLARK BROOKS
Signature Title PRESIDENT
Signature Date 6/9/2021

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