FORM 1023-EZ for BLOOM CHARITY NFP

Field Data
EIN 82-2995347
Case Number EO-2017293-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLOOM CHARITY NFP
Organization’s Mailing Address 204 PORTLAND PLACE
City RICHMOND
State VA
ZIP 23221-3333
Accounting period End 12
Primary contact name BASEER TAJUDDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMINA SHAMS
EXECUTIVE DIRECTOR
12900 SODBURY DRIVE
MIDLOTHIAN VA 23113-4070

Officer/Director/Trustee Two

NOMA SAEED
DIRECTOR
204 PORTLAND PLACE
RICHMOND VA 23221-3333

Officer/Director/Trustee Three

SADAF MONA REZA
DIRECTOR
7808 WINTERBERRY PLACE
BETHESDA MD 20817-4852

Organization’s website BLOOMCHARITY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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