FORM 1023-EZ for THE BLESSING CLUB

Field Data
EIN 47-5584314
Case Number EO-2015320-000436
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BLESSING CLUB
Organization’s Mailing Address 304 E SILVERADO RANCH BLVD 1223
City LAS VEGAS
State NV
ZIP 89183
Accounting period End 10
Primary contact name NEESA LAROCCA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NEESA LAROCCA
FOUNDING DIRECTOR
304 E SILVERADO RANCH BLVD 1223
LAS VEGAS NV 89183

Officer/Director/Trustee Two

FRANK LAROCCA
DEVELOPMENT DIRECTOR
304 E SILVERADO RANCH BLVD 1223
LAS VEGAS NV 89183

Officer/Director/Trustee Three

JOHN AGNESINI
CREATIVE DIRECTOR
304 E SILVERADO RANCH BLVD 1356
LAS VEGAS NV 89183

Officer/Director/Trustee Four

KOSTA PAPPAS
DEVELOPMENT DIRECTOR
7841 FIRESTONE LANE
WASHINGTON TOWNSHIP MI 48094

Officer/Director/Trustee Five

GRACE LAROCCA
OUTREACH DIRECTOR
20966 HUNT DRIVE
ROSEVILLE MI 48066

Organization’s website
Organization’s email THEBLESSINGCLUB@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
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
Signature Title
Signature Date

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