FORM 1023-EZ for BLISSFULSAGE FOUNDATION

Field Data
EIN 20-1485359
Case Number EO-2016035-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLISSFULSAGE FOUNDATION
Organization’s Mailing Address 1611 E MILLBROOK RD
City RALEIGH
State NC
ZIP 27609
Accounting period End 12
Primary contact name RACHAEL BATTLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHAEL BATTLE
FOUNDER
440 W 21ST STREET
NEW YORK NC 10011

Officer/Director/Trustee Two

MICHAEL BATTLE
DIRECTOR/ VICE PRESIDENT
440 W 21ST STREET
NEW YORK NC 10011

Officer/Director/Trustee Three

KAYE THOMPSON-ROGERS
DIRECTOR/TREASURER
156 SPORTSMAN CLUB RD
ROXBORO NC 27574

Officer/Director/Trustee Four

NORMA HAYWOOD
DIRECTOR/SECRETARY
2108 LYNDHURST DRIVE
RALEIGH NC 27610

Officer/Director/Trustee Five

ANTHONY FLANAGAN
DIRECTOR
7320 SIX FORKS ROAD
RALEIGH NC 27615

Organization’s website WWW.BLISSFULSAGEFOUNDATION.ORG
Organization’s email ELSHOSPICE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2004
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief 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 No
Conducting Activities Outside of United States Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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