FORM 1023-EZ for COLUMBIA BLOOMS

Field Data
EIN 81-3373918
Case Number EO-2016211-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLUMBIA BLOOMS
Organization’s Mailing Address 225 S 13TH ST APT 11
City WEST COLUMBIA
State TX
ZIP 77486
Accounting period End 12
Primary contact name SAM STAMPORT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM STAMPORT
MR
225 S 13TH ST APT 11
WEST COLUMBIA TX 77486-3346

Officer/Director/Trustee Two

JUDITH TOMLIN
MRS
136 W TEXACO AVE
WEST COLUMBIA TX 77486

Officer/Director/Trustee Three

PEGGY BOONE
MRS
2135 TWIN LAKES BLVD
WEST COLUMBIA TX 77486

Organization’s website COLUMBIABLOOMS.ORG
Organization’s email SAM.STAMPORT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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
Signature Title
Signature Date

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