FORM 1023-EZ for BLESSED BED AND BREAKFAST INC

Field Data
EIN 86-2812322
Case Number EO-2021103-000626
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLESSED BED AND BREAKFAST INC
Organization’s Mailing Address 328 VIRGINIA ST 206
City VALLEJO
State CA
ZIP 94590
Accounting period End 12
Primary contact name MELDALINA FARLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELDALINA FARLEY
PRESIDENT/DIRECTOR/FOUNDER
328 VIRGINIA ST 206
VALLEJO CA 94590

Officer/Director/Trustee Two

DEVIN FARLEY
TREASURER/SECRETARY/DIRECTOR
328 VIRGINIA ST 206
VALLEJO CA 94590

Officer/Director/Trustee Three

COREY PRINCE
DIRECTOR
222 AMADOR ST
VALLEJO CA 94590

Organization’s website WWW.BLESSEDBNB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
Donation of funds Yes
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 Yes
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 MELDALINA FARLEY
Signature Title PRESIDENT/DIRECTOR/FOUNDER
Signature Date 4/7/2021

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