FORM 1023-EZ for THE BLOOM FLOURISH THRIVE FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-4925076 |
| Case Number | EO-2021125-000181 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE BLOOM FLOURISH THRIVE FOUNDATION |
| Organization’s Mailing Address | 10900 WEST 44TH AVENUE SUITE 200 |
| City | WHEAT RIDGE |
| State | CO |
| ZIP | 80033 |
| Accounting period End | 12 |
| Primary contact name | JOHN FREEMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOHN FREEMAN
CHAIRMAN
324 IRWIN PLACE
ERIE CO 80516-6555
Officer/Director/Trustee Two
THOMAS LALLY
BOARD MEMBER
33469 WOODLAND DR
EVERGREEN CO 80439-9759
Officer/Director/Trustee Three
JEANINE LALLY
BOARD MEMBER
33469 WOODLAND DR
33469 WOODLAND DR CO 80439-9759
Officer/Director/Trustee Four
MICHAEL BUNTING
BOARD MEMBER
5101 MEADE STREET
DENVER CO 80221-1035
| Organization’s website | BLOOMHEALTHCARE.COM FOUNDATION |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/2/2020 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| 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 | 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 | 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 | JOHN FREEMAN |
| Signature Title | CHAIRMAN |
| Signature Date | 5/3/2021 |
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