FORM 1023-EZ for BLOOM WOMEN INC

Field Data
EIN 85-1025965
Case Number EO-2020136-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOOM WOMEN INC
Organization’s Mailing Address 3813 OLD VINE WAY
City VALDOSTA
State GA
ZIP 31605
Accounting period End 4
Primary contact name JAZMINE NEWSOMW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAZMINE NEWSOME
DIRECTOR
3813 OLD VINE WAY
VALDOSTA GA 31605

Organization’s website WWW.BLOOMWOMEN.ORG
Organization’s email BLOOMWOMENTODAY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 JAZMINE NEWSOME
Signature Title DIRECTOR
Signature Date 5/13/2020

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