FORM 1023-EZ for ORCHID BLOOM

Field Data
EIN 47-2406659
Case Number EO-2021264-000433
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORCHID BLOOM
Organization’s Mailing Address 5612 QUITMAN TRL
City RALEIGH
State NC
ZIP 27610
Accounting period End 12
Primary contact name SURENA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SURENA JOHNSON
FOUNDER
5612 QUITMAN TRL
RALEIGH NC 27610

Organization’s website ORCHIDBLOOM.ORG
Organization’s email ORCHIDBLOOMNONPROFIT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SURENA JOHNSON
Signature Title FOUNDER
Signature Date 9/17/2021

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