FORM 1023-EZ for BLOSSOM YOUTH INC

Field Data
EIN 85-1052680
Case Number EO-2020139-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLOSSOM YOUTH INC
Organization’s Mailing Address 19435 CAMERON
City DETROIT
State MI
ZIP 48203-4717
Accounting period End 3
Primary contact name PHILLICE DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLICE DAVIS
PRESIDENT
19435 CAMERON ST
DETROIT MI 48203-4717

Officer/Director/Trustee Two

PHYLLIS ARACHRD - SMITH
SECRETARY
19435 CAMERON ST
DETROIT MI 48203-4717

Officer/Director/Trustee Three

DENZEL RAINES
TREASURER
19435 CAMERON ST
DETROIT MI 48203-4717

Organization’s website BLOSSOMINGYOUTH.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 PHILLICE DAVIS
Signature Title PRESIDENT
Signature Date 5/14/2020

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