FORM 1023-EZ for PUZZLE BLESSINGS INC

Field Data
EIN 85-1319999
Case Number EO-2020199-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUZZLE BLESSINGS INC
Organization’s Mailing Address 1845 LAKE CHAPMAN DRIVE DRIVE 201
City BRANDON
State FL
ZIP 33510
Accounting period End 12
Primary contact name SANDRA HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA HENDERSON
PRESIDENT
1845 LAKE CHAPMAN DR 201
BRANDON FL 33510

Officer/Director/Trustee Two

TAJULLAH WELLS
VP
3001 SANCHEZ ST
TAMPA FL 33605

Officer/Director/Trustee Three

LORETTE SCARBOROUGH
SECRETARY
1845 LAKE CHAPMAN DR 201
BRANDON FL 33510

Officer/Director/Trustee Four

ASHLEY WELLS
TREASURER
3001 SANCHEZ ST
TAMPA FL 33605

Organization’s website WWW.PUZZLEBLESSINGS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 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 SANDRA HENDERSON
Signature Title PRESIDENT
Signature Date 7/15/2020

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