FORM 1023-EZ for BLOOMING HEALTH FARMS
| Field | Data |
|---|---|
| EIN | 84-1988501 |
| Case Number | EO-2020066-000313 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLOOMING HEALTH FARMS |
| Organization’s Mailing Address | 2116 16TH STREET |
| City | GREELEY |
| State | CO |
| ZIP | 80631 |
| Accounting period End | 2 |
| Primary contact name | SEAN SHORT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
EDWARD VANDYNE
PRESIDENT
10140 FIELD LANE
FORESTVILLE CA 95436-9729
Officer/Director/Trustee Two
MEAGAN GALLEGOS
TREASURER
39566 CR 84
BRIGGSDALE CO 80611-8525
Officer/Director/Trustee Three
SCOTT ALLEN
SECRETARY
2300 W CR 38E
FORT COLLINS CO 80526
Officer/Director/Trustee Four
SEAN SHORT
DIRECTOR OF OPERATIONS
2116 16TH STREET
GREELEY CO 80631-5117
Officer/Director/Trustee Five
RYAN SMITH
DIRECTOR OF PROGRAMS
3513 38TH AVE
EVANS CO 80620-9107
| Organization’s website | WWW.BLOOMINGHEALTHFARMS.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/12/2019 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B11 - Single Organization Support |
| Organization’s purpose | Charitable: No 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 | SEAN SHORT |
| Signature Title | DIRECTOR OF OPERATIONS |
| Signature Date | 3/4/2020 |
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