FORM 1023-EZ for BLOSSOM COMMUNITY FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-2040363 |
| Case Number | EO-2020244-000026 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLOSSOM COMMUNITY FOUNDATION |
| Organization’s Mailing Address | 3134 AUTEN AVENUE |
| City | CHARLOTTE |
| State | NC |
| ZIP | 28269 |
| Accounting period End | 12 |
| Primary contact name | LESLIE DUNBAR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LESLIE DUNBAR
DIRECTOR
3134 AUTEN AVENUE
CHARLOTTE NC 28269
Officer/Director/Trustee Two
PAULA ADAMS
TRUSTEE
612 CHARLES APT 73
KING MT NC 28269
Officer/Director/Trustee Three
ANTIONETTE THORNTON
OFFICER
3134 AUTEN AVENUE
CHARLOTTE NC 28269
Officer/Director/Trustee Four
LESLIE DUNBAR
DIRECTOR
3134 AUTEN AVENUE
CHARLOTTE NC 28269
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/25/2020 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F30 - Mental Health Treatment - Multipurpose and N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes 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 | Yes |
| 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 | LESLIE DUNBAR |
| Signature Title | DIRECTOR |
| Signature Date | 8/29/2020 |
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