FORM 1023-EZ for BLOOM
| Field | Data |
|---|---|
| EIN | 85-2538767 |
| Case Number | EO-2020230-000083 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLOOM |
| Organization’s Mailing Address | 1520 WARD AVE APT 902 |
| City | HONOLULU |
| State | HI |
| ZIP | 96822 |
| Accounting period End | 12 |
| Primary contact name | TIFFANY LIFTEE-KAU |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIFFANY LIFTEE-KAU
PRESIDENT / DIRECTOR
1520 WARD AVE APT 902
HONOLULU HI 96822
Officer/Director/Trustee Two
TIFFANY GARZA
VICE-PRESIDENT
2270 KAULULAAU STREET
HONOLULU HI 96813
Officer/Director/Trustee Three
NICOLE CHANG
TREASURER
6901 NIUMALU LOOP
HONOLULU HI 96825
Officer/Director/Trustee Four
JANICE PAK
SECRETARY
888 KAPIOLANI BLVD APT 1701
HONOLULU HI 96814
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/20/2020 |
| Organization Incorporation State | HI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| Organization’s purpose | Charitable: No Religious: Yes 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 | TIFFANY LIFTEE-KAU |
| Signature Title | PRESIDENT / DIRECTOR |
| Signature Date | 8/14/2020 |
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