FORM 1023-EZ for FLOURISH INC

Field Data
EIN 47-5542925
Case Number EO-2016068-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLOURISH INC
Organization’s Mailing Address 621 W SKYLINE DR
City BLOOMINGTON
State IN
ZIP 47404-1835
Accounting period End 12
Primary contact name ANN MARIE NEELEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMY BECK
BOARD PRESIDENT
214 E HILLSIDE DR
BLOOMINGTON IN 47401-6504

Officer/Director/Trustee Two

KAREN THURSBY
VICE PRESIDENT
3750 S GARRISON CHAPEL RD
BLOOMINGTON IN 47403-9298

Officer/Director/Trustee Three

MARY ANN MARTIN
SECRETARY
808 S FESS AVE
BLOOMINGTON IN 47401-4946

Officer/Director/Trustee Four

JILL HAMMERSLEY
TREASURER
3521 E PARK LANE
BLOOMINGTON IN 47408-6302

Organization’s website HTTPS://WWW.FACEBOOK.COM/MILKMATTERSBLOOMINGTON/
Organization’s email FLOURISHINCBLOOMINGTON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion 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 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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