FORM 1023-EZ for BORN 2 BLOSSOM INC

Field Data
EIN 85-2743763
Case Number EO-2021064-000923
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORN 2 BLOSSOM INC
Organization’s Mailing Address 225 WEST ELNORTE PARK WAY UNIT 237
City ESCONDIDO
State CA
ZIP 92026
Accounting period End 12
Primary contact name MECHELLE HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MECHELLE HOLLAND
DIRECTOR
616 CANDELILA DRIVE
ESCONDIDO CA 92026

Officer/Director/Trustee Two

FAVIA BUTLER
DIRECTOR
107 MULBERRY STREET
STOCKBRIDGE TX 30281

Officer/Director/Trustee Three

CARLA BIBLES
DIRECTOR
850 LAKE CAROLYN PKWY 3197
IRVING TX 75039

Officer/Director/Trustee Four

SANDRA ROMAN
DIRECTOR
526 NINA CIRCLE
PERRIS CA 92571

Officer/Director/Trustee Five

SHARELLA JOHNSON
DIRECTOR
31435 JANELLE LANE
WINCHESTER CA 92596

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Unrelated Gross Income $1,000 or More Yes
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 MECHELLE HOLLAND
Signature Title DIRECTOR
Signature Date 1/6/2021

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