FORM 1023-EZ for BLOOMN FOUNDATION

Field Data
EIN 85-3094187
Case Number EO-2020267-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOOMN FOUNDATION
Organization’s Mailing Address 602 WEST NOPAL AVENUE
City MESA
State AZ
ZIP 85210
Accounting period End 6
Primary contact name TROY GILCHRIST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY LIU
DIRECTOR
602 W NOPAL AVE
MESA AZ 85210-7421

Officer/Director/Trustee Two

TROY GILCHRIST
TREASURER
1107 S PALOMINO CREEK DR
GILBERT AZ 85296-3727

Officer/Director/Trustee Three

MAXWELL FLANAGAN
VICE PRESIDENT
1050 S TERRACE RD
TEMPE AZ 85281-1049

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 TROY GILCHRIST
Signature Title TREASURER
Signature Date 9/21/2020

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