FORM 1023-EZ for LOTUS BLOSSOMS INC

Field Data
EIN 87-1897924
Case Number EO-2021272-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOTUS BLOSSOMS INC
Organization’s Mailing Address 2727 WESTERN AVENUE
City DAVENPORT
State IA
ZIP 52803
Accounting period End 12
Primary contact name NADIYAH COLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NADIYAH COLY
PRESIDENT
2727 WESTERN AVE
DAVENPORT IA 52803-1434

Officer/Director/Trustee Two

ALHOUSSEYNOU COLY
VICE PRESIDENT
2727 WESTERN AVE
DAVENPORT IA 52803-1434

Officer/Director/Trustee Three

NICOLE MOORE
SECRETARY
2925 WESTERN AVE
DAVENPORT IA 52803-1440

Organization’s website
Organization’s email LOTUSBLOSSOMSINC@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2021
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 NADIYAH COLY
Signature Title PRESIDENT
Signature Date 9/28/2021

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