FORM 1023-EZ for FLOURISH FOUNDATION

Field Data
EIN 47-4831184
Case Number EO-2015236-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLOURISH FOUNDATION
Organization’s Mailing Address 3634 WEST MARKET ST STE 104
City AKRON
State OH
ZIP 44333
Accounting period End 12
Primary contact name JAMES TALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES TALTON
PRESIDENT, DIRECTOR
3486 MUIRWOOD LN
RICHFIELD OH 44286

Officer/Director/Trustee Two

LYDIA CARLIS
SECRETARY, DIRECTOR
6512 GATEWAY BLVD
DISTRICT HEIGHTS MD 20747

Officer/Director/Trustee Three

MATTHEW KING
TREASURER, DIRECTOR
13008 ENGLISH TURN DR
SILVER SPRINGS MD 20904

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 No
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 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
Signature Title
Signature Date

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