FORM 1023-EZ for BLOSSOM FOR FAMILIES INTERNATIONALINC

Field Data
EIN 85-1136894
Case Number EO-2020199-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOSSOM FOR FAMILIES INTERNATIONALINC
Organization’s Mailing Address 119-51 178TH STREET
City JAMAICA
State NY
ZIP 11434
Accounting period End 12
Primary contact name WINSOME SCARLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WINSOME SCARLETT
FOUNDER
119-51 178TH STREET
JAMAICA NY 11434

Officer/Director/Trustee Two

HELEN MITCHELL
SECRETARY
97 E57TH STREET
BROOKLYN NY 11203

Officer/Director/Trustee Three

COLLETTE SOUTHERLAND
PRESIDENT
188 OAKLEY AVENUE
ELMONT NY 11003

Officer/Director/Trustee Four

LEROY BARKLEY JR
TREASURER
118-57 RIVERTON STREET
JAMAICA NY 11412

Officer/Director/Trustee Five

NICOLE GEDDES
BOARD MEMBER
188 OAKLEY AVENUE
ELMONT NY 11003

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WINSOME SCARLETT
Signature Title FOUNDER
Signature Date 7/15/2020

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