FORM 1023-EZ for CAMP BLISS FOR KIDS INC

Field Data
EIN 82-5028448
Case Number EO-2018135-000298
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP BLISS FOR KIDS INC
Organization’s Mailing Address 102 LARCH AVENUE SUITE 101F
City NEWPORT
State DE
ZIP 19804
Accounting period End 12
Primary contact name DAWN PARAMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN PARAMORE
CHAIRMAN AND CEO
102 LARCH AVENUE SUITE 101F
NEWPORT DE 19804

Officer/Director/Trustee Two

KENNAN DORSEY
BOARD OF DIRECTORS AND PRG ADVISOR
4 CAVALLERO COURT
NEW CASTLE DE 19720

Officer/Director/Trustee Three

SHERRY DORSEY WALKER
BOARD OF DIRECTORS AND STRATEGIST
1714 CHESTNUT STREET
WILMINGTON DE 19805

Officer/Director/Trustee Four

SARAFINA KING
BOARD OF DIRECTORS AND THERAPIST
328 NORWALK WAY
MIDDLETOWN DE 19709

Organization’s website CAMPBLISSFORKIDS.ORG
Organization’s email CAMPBLISSKIDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
Organization’s purpose Charitable: No
Religious: No
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 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 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 DAWN PARAMORE
Signature Title CHAIRMAN AND CEO
Signature Date 5/9/18

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