FORM 1023-EZ for BLAIN FOUNDATION FOR NEGLECTED CHILDREN INC
| Field | Data |
|---|---|
| EIN | 82-1706384 |
| Case Number | EO-2018192-000173 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLAIN FOUNDATION FOR NEGLECTED CHILDREN INC |
| Organization’s Mailing Address | 564 CRABAPPLE LANE |
| City | PEACHTREE CITY |
| State | GA |
| ZIP | 30269 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL PARKER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
VANINA BLAIN
CEO
561 CRABAPPLE LANE
PEACHTREE CITY GA 30269
Officer/Director/Trustee Two
JUDITH PIQUANT
TREASURER
1141 EARLY DRIVE NW
PALMBAY FL 32907
Officer/Director/Trustee Three
DOROTHY STEPHENSON
ADVISOR
2195 DAYTONA DRIVE
ATLANTA GA 30331
Officer/Director/Trustee Four
CLAUDE BLAIN
VICE PRES
561 CRABAPPLE LANE
PEACHTREE CITY GA 30269
Officer/Director/Trustee Five
FLORENCE CELESTIN
SECRETARY
561 CRABAPPLE LANE
PEACHTREE CITY GA 30269
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/12/17 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B80 - Student Services, Organizations of Students |
| Organization’s purpose | Charitable: No 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 | 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 | VANINA BLAIN |
| Signature Title | CEO |
| Signature Date | 7/9/18 |
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