FORM 1023-EZ for ADULT BLOOMERS

Field Data
EIN 85-0722804
Case Number EO-2020108-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADULT BLOOMERS
Organization’s Mailing Address 102 SUNRISE DRIVE
City SUNRISE BEACH
State TX
ZIP 78643
Accounting period End 12
Primary contact name WILLIE CARGILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIE CARGILL
DIRECTOR
102 SUNRISE DRIVE
SUNRISE BEACH TX 78643-9283

Officer/Director/Trustee Two

CHERYL CARGILL
DIRECTOR
102 SUNRISE DRIVE
SUNRISE BEACH TX 78643-9283

Officer/Director/Trustee Three

KAYLA FOSTER
DIRECTOR
102 SUNRISE DRIVE
SUNRISE BEACH TX 78643-9283

Organization’s website ADULTBLOOMERS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIE CARGILL
Signature Title DIRECTOR
Signature Date 4/15/2020

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