FORM 1023-EZ for BLOOM KIDS CLOSET

Field Data
EIN 84-4556883
Case Number EO-2020041-000468
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOOM KIDS CLOSET
Organization’s Mailing Address 1
City BRYAN
State OH
ZIP 43506
Accounting period End 2
Primary contact name CHANTEL DOMINIQUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANTEL DOMINIQUE
EXECUTIVE DIRECTOR
15624 US HIGHWAY 6
BRYAN OH 43506

Officer/Director/Trustee Two

AMIE DAVIS
PRESIDENT
501 OLD FARM TRAIL
BRYAN OH 43506

Officer/Director/Trustee Three

ELICIA ZIMMERMAN
VICE PRESIDENT
411 W LYNN STREET
PIONEER OH 43554

Officer/Director/Trustee Four

KATIE CRAMER
TREASURER
03488 ST RT 576
BRYAN OH 43506

Officer/Director/Trustee Five

TARI DAVIS
SECRETARY
601 OXFORD DR
BRYAN OH 43506

Organization’s website
Organization’s email BLOOMKIDSCLOSET@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
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 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 CHANTEL DOMINIQUE
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/7/2020

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