FORM 1023-EZ for BLOSSOMS HOUSE

Field Data
EIN 85-3168306
Case Number EO-2020310-000115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOSSOMS HOUSE
Organization’s Mailing Address 971 STATE STREET
City HARBOR SPRINGS
State MI
ZIP 49740
Accounting period End 12
Primary contact name JULIE ANGELA DEGROOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE DEGROOT
EXECUTIVE DIRECTOR
971 STATE STREET
HARBOR SPRINGS MI 49740

Officer/Director/Trustee Two

DIANE HANSEL
TREASURER
7426 MILTON RD
ALANSON MI 49706

Officer/Director/Trustee Three

JENNIFER RACINE
TREASURER
7555 HOYT ST
HARBOR SPRINGS MI 49740

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related 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 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 JULIE DEGROOT
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/2/2020

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