FORM 1023-EZ for BLESSYNS ALOPECIA MENTAL HEALTH FOUNDATION

Field Data
EIN 83-3915155
Case Number EO-2019134-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLESSYNS ALOPECIA MENTAL HEALTH FOUNDATION
Organization’s Mailing Address 46 GALVESTON STREET SW 202
City WASHINGTON
State DC
ZIP 20032
Accounting period End 12
Primary contact name CHRISTINE TOLVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE TOLVER
PRESIDENT
46 GALVESTON STREET SW 202
WASHINGTON DC 20032

Officer/Director/Trustee Two

JACQUITA BOODIE
BOARD MEMBER
46 GALVESTON STREET SW 202
WASHINGTON DC 20032

Officer/Director/Trustee Three

JULIA TOLVER
BOARD MEMBER
46 GALVESTON STREET SW 202
WASHINGTON DC 20032

Officer/Director/Trustee Four

DEMARCUS RUDD
BOARD MEMBER
46 GALVESTON STREET SW 202
WASHINGTON DC 20032

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/19
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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 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 CHRISTINE TOLVER
Signature Title PRESIDENT
Signature Date 5/12/19

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