FORM 1023-EZ for THE BLOOMING FOUNDATION

Field Data
EIN 86-2126943
Case Number EO-2021152-000888
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLOOMING FOUNDATION
Organization’s Mailing Address 5925 NE ALDER ST
City HILLSBORO
State OR
ZIP 97124
Accounting period End 12
Primary contact name SHANNAN CHRISTIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNAN CHRISTIAN
PRESIDENT
5925 NE ALDER ST
HILLSBORO OR 97124

Officer/Director/Trustee Two

LEEANN LANCE
VICE PRESIDENT
18619 SW MCCLAREY DR
ALOHA OR 97007

Officer/Director/Trustee Three

ERICA YOUNG
TREASURER
25217 119TH PL SE
KENT WA 98030

Officer/Director/Trustee Four

FAWN GREPO
SECRETARY
1695 SE AUST MANOR DRIVE
CHEHALIS WA 98532

Organization’s website THEBLOOMINGFOUNDATION.ORG
Organization’s email PRESIDENT@THEBLOOMINGFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2021
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, 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 SHANNAN CHRISTIAN
Signature Title PRESIDENT
Signature Date 5/30/2021

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