FORM 1023-EZ for BLOODLINE INC
| Field | Data |
|---|---|
| EIN | 81-1737560 |
| Case Number | EO-2016070-000374 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BLOODLINE INC |
| Organization’s Mailing Address | 10540 FLATLANDS 10TH ST |
| City | BROOKLYN |
| State | NY |
| ZIP | 11236 |
| Accounting period End | 12 |
| Primary contact name | TAMOYA SIMPSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
TAMOYA SIMPSON
FOUNDER/ PRESIDENT
10540 FLATLANDS 10TH ST
BROOKLYN
Officer/Director/Trustee Two
DAWN BARRETT
DIRECTOR
7644 CYPRESS POINT DRIVE
PICKERINGTON OH 43147
Officer/Director/Trustee Three
JAQAI MICKELSEN
DIRECTOR
425 CHAPEL ST SW APT 2302
ATLANTA GA 30313
Officer/Director/Trustee Four
TRICIA TAYLOR
DIRECTOR
100-18 AVENUE M
BROOKLYN NY 11236
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/3/2016 |
| Organization Incorporation State | NY |
| 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: 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 | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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