FORM 1023-EZ for BLOSSOM OUTREACH INC
| Field | Data |
|---|---|
| EIN | 83-0700779 |
| Case Number | EO-2018151-000201 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLOSSOM OUTREACH INC |
| Organization’s Mailing Address | 450 PIEDMONT AVE NE UNIT 738 |
| City | ATLANTA |
| State | GA |
| ZIP | 30308 |
| Accounting period End | 1 |
| Primary contact name | INDIA WILLIAMS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
INDIA WILLIAMS
PRESIDENT
450 PIEDMONT AVE NE UNIT 738
ATLANTA GA 30308
Officer/Director/Trustee Two
JAMEKA TIMLIC
VICE PRESIDENT
450 PIEDMONT AVE NE UNIT 1825
ATLANTA GA 30308
Officer/Director/Trustee Three
JUSTIN MACK
TREASURER
3290 COBB GALLERIA PKWY UNIT 16091
ATLANTA GA 30339
Officer/Director/Trustee Four
SEGBONIE GEORGES
SECRETARY
639 GARDEN WALK BLVD UNIT 1825
ATLANTA GA 30349
Officer/Director/Trustee Five
NADAH BAILEY
DEVELOPMENT DIRECTOR
960 EAST PACES FERRY RD
ATLANTA GA 30326
| Organization’s website | BLOSSOMOUTREACH.COM |
|---|---|
| Organization’s email | INFO@BLOSSOMOUTREACH.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/28/18 |
| Organization Incorporation State | GA |
| 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: 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 | INDIA WILLIAMS |
| Signature Title | PRESIDENT |
| Signature Date | 5/29/18 |
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