FORM 1023-EZ for THE BLESSING MOVEMENT

Field Data
EIN 84-3342108
Case Number EO-2020090-000360
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLESSING MOVEMENT
Organization’s Mailing Address 18816 MCGHEE DR E
City BONNEY LAKE
State WA
ZIP 98391
Accounting period End 8
Primary contact name KERRY LEBLEU & CARRIE BUTORAC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERRY LEBLEU
CEO PRESIDENT
1816 MCGHEE DR E
BONNEY LAKE WA 98391

Officer/Director/Trustee Two

CARRIE BUTORAC
CHIEF OPERATING OFFICER (COO)
305 CARLEY PLACE
ENUMCLAW WA 98022

Officer/Director/Trustee Three

KERRY LEBLEU
CHIEF FINANCIAL OFFICER (CFO)
18816 MCGHEE DR E
BONNEY LAKE WA 98391

Officer/Director/Trustee Four

CARRIE BUTORA
TREASURER
305 CARLEY PLACE
ENUMCLAW WA 98022

Officer/Director/Trustee Five

DEBBIE BRUNER
SECRETARY
21801 225TH ST
BONNEY LAKE WA 98391

Organization’s website BLESSINGMOVEMENT.ORG
Organization’s email INFO@BLESSINGMOVMENT.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2019
Organization Incorporation State WA
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: 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 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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KERRY LEBLEU
Signature Title CHIEF FINANCIAL OFFICER (CFO)
Signature Date 3/27/2020

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