FORM 1023-EZ for BLOOMS TO SHARE

Field Data
EIN 81-1851133
Case Number EO-2016118-000117
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLOOMS TO SHARE
Organization’s Mailing Address 10504 WEDD ST
City OVERLAND PARK
State KS
ZIP 66212
Accounting period End 12
Primary contact name KAY ERICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAY ERICKSON
DIRECTOR
10504 WEDD ST
OVERLAND PARK KS 66212

Officer/Director/Trustee Two

EMILY FIEBIG
OFFICER
17101 W 93RD ST APT 7205
LENEXA KS 66219

Officer/Director/Trustee Three

GRETCHEN FIEBIG
OFFICER
10504 WEDD ST
OVERLAND PARK KS 66212

Organization’s website
Organization’s email BLOOMSTOSHARE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2016
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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
Signature Title
Signature Date

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