FORM 1023-EZ for BLOOM GIRLS INCORPORATED

Field Data
EIN 47-2852533
Case Number EO-2017125-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLOOM GIRLS INCORPORATED
Organization’s Mailing Address 11 HOPE ROAD SUITE 111-224
City STAFFORD
State VA
ZIP 22554
Accounting period End 12
Primary contact name SHANDA BRABEC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANDA BRABEC
CO-PRESIDENT AND VICE CHAIRMAN
12372 MONTANO COURT
CASTLE PINES CO 80108

Officer/Director/Trustee Two

JENNIFER CONNELLY
CO-PRESIDENT AND CHAIRMAN
10 BOULDER DRIVE
STAFFORD VA 22554

Officer/Director/Trustee Three

LISA BAST
SECRETARY TREASURER
18 GALLERY DRIVE
STAFFORD VA 22554

Organization’s website BLOOMGIRLS.ORG
Organization’s email BLOOMGIRLSINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: No
Religious: Yes
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 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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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