FORM 1023-EZ for HOPE BLOOMS

Field Data
EIN 82-2043167
Case Number EO-2017215-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOPE BLOOMS
Organization’s Mailing Address PO BOX 9705
City FARGO
State ND
ZIP 58106
Accounting period End 12
Primary contact name KELLY KRENZEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY KRENZEL
EXECUTIVE DIRECTOR
PO BOX 9705
FARGO ND 58106

Officer/Director/Trustee Two

DANIELLE TEIGEN
PRESIDENT
3423 50TH ST S
FARGO ND 58104

Officer/Director/Trustee Three

CHRISTY TEHVEN
VICE PRESIDENT
714 9TH AVE N
FARGO ND 58102

Officer/Director/Trustee Four

BETHANY BERKELEY
SECRETARY
4310 17TH AVE S
FARGO ND 58103

Officer/Director/Trustee Five

LIZ JOHNSON
TREASURER
7099 GOLDEN VALLEY PKWY S
FARGO ND 58104

Organization’s website WWW.HOPEBLOOMSND.COM
Organization’s email HOPEBLOOMSND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2017
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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
Signature Title
Signature Date

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