FORM 1023-EZ for FLEURS DREAM

Field Data
EIN 81-3845626
Case Number EO-2016342-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLEURS DREAM
Organization’s Mailing Address 116 WINESAP STREET
City PATASKALA
State OH
ZIP 43062-9670
Accounting period End 12
Primary contact name MARITZA NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA LITSEY
PRESIDENT
116 WINESAP STREET
PATASKALA OH 43062-9670

Officer/Director/Trustee Two

JENNIFER WRIGHT
VICE-PRESIDENT/TREASURER
116 WINESAP STREET
PATASKALA OH 43062-9670

Officer/Director/Trustee Three

GINNY FIRST
SECRETARY
116 WINESAP STREET
PATASKALA OH 43062-9670

Officer/Director/Trustee Four

EMILE HUMBERT
DIRECTOR
116 WINESAP STREET
PATASKALA OH 43062-9670

Officer/Director/Trustee Five

LISA HASHEMIAN
DIRECTOR
116 WINESAP STREET
PATASKALA OH 43062-9670

Organization’s website
Organization’s email GUMBOPUCK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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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