FORM 1023-EZ for BLEED FREE INCORPORATED

Field Data
EIN 86-1766453
Case Number EO-2021085-000701
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLEED FREE INCORPORATED
Organization’s Mailing Address 17246 DEERING ST
City LIVONIA
State MI
ZIP 48152
Accounting period End 12
Primary contact name ALLISON SALTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLISON SALTZ
EXECUTIVE DIRECTOR
17246 DEERING ST
LIVONIA MI 48152

Officer/Director/Trustee Two

SHABLIS JOHNSON
TREASURER
29702 FOX RUN CIRCLE
WARREN MI 48092

Officer/Director/Trustee Three

SAMANTHA DIAL
CHAIRPERSON
14548 CICOTTE AVE
ALLEN PARK MI 48101

Officer/Director/Trustee Four

TIA FOLGADO
DIRECTOR
610 TOBIN DR APT 206
INKSTER MI 48141

Officer/Director/Trustee Five

JEREMY SPARKMAN
DIRECTOR
38367 S JEAN CT
WESTLAND MI 48186

Organization’s website BleedFree.net
Organization’s email info@bleedfree.net
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - 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 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 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 ALLISON SALTZ
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/4/2021

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