FORM 1023-EZ for BLOSSOM SCHOLASTIC

Field Data
EIN 47-5317791
Case Number EO-2015342-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLOSSOM SCHOLASTIC
Organization’s Mailing Address 838 DEACON
City COLUMBUS
State OH
ZIP 43214-2340
Accounting period End 10
Primary contact name RICHARD LOUKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD LOUKE
MR.
838 DEACON
COLUMBUS OH 43214-2340

Officer/Director/Trustee Two

DARIAN BAUER
MS.
838 DEACON CIRLCLE
COLUMBUS OH 43214-2340

Officer/Director/Trustee Three

JOSEPH LYON
MR.
521 APPLEWOOD DRIVE
BEL AIR MD 21014

Officer/Director/Trustee Four

TAMARA MCCLURE
MS.
240 N 21ST ST
COLUMBUS OH 43203

Organization’s website
Organization’s email BLOSSOMSCHOLASTIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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 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
Signature Title
Signature Date

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