FORM 1023-EZ for BLESSED LADIES OPEN OVERCOMING MENTORS- BLOOM

Field Data
EIN 86-1461903
Case Number EO-2021084-001359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLESSED LADIES OPEN OVERCOMING MENTORS- BLOOM
Organization’s Mailing Address 22 ISLAND CREEK ROAD
City SEALE
State AL
ZIP 36875-2900
Accounting period End 12
Primary contact name RACMELLA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACMELLA SMITH
EXECUTIVE DIRECTOR
22 ISLAND CREEK ROAD
SEALE AL 36875-2900

Officer/Director/Trustee Two

ANNIE MAE HAYES
SECRETARY TREASURER
500 WILLIAMSBURG DRIVE
PHENIX CITY AL 36869-2606

Officer/Director/Trustee Three

DOLORES ELIAS ALLEN
ASSISTANT DIRECTOR
87 C NUCKOLS ROAD
PHENIX CITY AL 36869

Officer/Director/Trustee Four

WELTON THOMAS
DIRECTOR
294 BLANDING
HATCHECHUBBEE AL 36858

Officer/Director/Trustee Five

MARY HUDSON
DIRECTOR
701 4TH PLACE
PHENIX CITY AL 36869

Organization’s website JUSTBLOOM.US
Organization’s email JUSTBLOOM2019@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 RACMELLA SMITH
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/3/2021

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