FORM 1023-EZ for BLOOMMKE INC

Field Data
EIN 83-4232007
Case Number EO-2019155-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOOMMKE INC
Organization’s Mailing Address 191 N BROADWAY UNIT 703
City MILWAUKEE
State WI
ZIP 53202-6032
Accounting period End 3
Primary contact name RICHARD ROSZKOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD ROSZKOWSKI
PRESIDENT
191 N BROADWAY UNIT 703
MILWAUKEE WI 53202-6032

Officer/Director/Trustee Two

KELLY VERSTAT
TREASURER
1114 E LYON STREET
MILWAUKEE WI 53202-2128

Officer/Director/Trustee Three

WILLIAM BELKE
VICE PRESIDENT
425 EAST MENOMONEE STREET APT 301
MILWAUKEE WI 53202-6140

Officer/Director/Trustee Four

LISA ROSZKOWSKI
SECRETARY
191 N BROADWAY UNIT 703
MILWAUKEE WI 53202-6032

Officer/Director/Trustee Five

ZACHARY KACPROWICZ
BOARD MEMBER
1935 E BENNETT AVENUE
MILWAUKEE WI 53207-2162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 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 KELLY VERSTAT
Signature Title TREASURER
Signature Date 6/2/19

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