FORM 1023-EZ for BLOOM & GRACE PROJECT

Field Data
EIN 84-3272910
Case Number EO-2019294-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOOM & GRACE PROJECT
Organization’s Mailing Address 10811 NE 96TH CT
City VANCOUVER
State WA
ZIP 98662
Accounting period End 12
Primary contact name TIONNA PETRAMALO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIONNA PETRAMALO
EXECUTIVE DIRECTOR
PO BOX 822020
VANCOUVER WA 98682-46

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 TIONNA PETRAMALO
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/17/19

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