FORM 1023-EZ for BLESSED100 INC

Field Data
EIN 83-2109209
Case Number EO-2018282-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLESSED100 INC
Organization’s Mailing Address 181 SOUTH GRAHAM STREET
City WILLOW PARK
State TX
ZIP 76401
Accounting period End 12
Primary contact name JOSH ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSH ALLEN
DIRECTOR
181 SOUTH GRAHAM STREET
STEPHENVILLE TX 76401

Officer/Director/Trustee Two

MICAH PETREA
DIRECTOR
181 SOUTH GRAHAM STREET
STEPHENVILLE TX 76401

Officer/Director/Trustee Three

APRIL ROBINSON
DIRECTOR
181 SOUTH GRAHAM STREET
STEPHENVILLE TX 76401

Officer/Director/Trustee Four

ANGEL ESCOBAR
DIRECTOR
181 SOUTH GRAHAM STREET
STEPHENVILLE TX 76401

Officer/Director/Trustee Five

JEREMY DERINGTON
DIRECTOR
181 SOUTH GRAHAM STREET
STEPHENVILLE TX 76401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: Yes
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 JOSH ALLEN
Signature Title DIRECTOR
Signature Date 10/4/18

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