FORM 1023-EZ for OUR BLENDED FAMILIES

Field Data
EIN 46-5744050
Case Number EO-2015058-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OUR BLENDED FAMILIES
Organization’s Mailing Address 5129 CRANMER WAY
City CAPITOL HEIGHTS
State MD
ZIP 20743
Accounting period End 12
Primary contact name SHAYNEL CALDWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAYNEL CALDWELL
PRESIDENT
5129 CRANMER WAY
CAPITOL HEIGHTS MD 20743

Officer/Director/Trustee Two

WALTER RIDLEY
BOARD MEMBER
8181 PROFESSIONAL PLACE STE170
HYATTSVILLE MD 20785

Officer/Director/Trustee Three

SAMUEL CALDWELL
BOARD MEMBER
16606 PEACH STREET
BOWIE MD 20716

Officer/Director/Trustee Four

LEOPOLE MCLAUGHLIN III
BOARD MEMBER
12806 PEMBERTON COURT
UPPER MARLBORO MD 20774

Officer/Director/Trustee Five

ERWIN HOUSE
BOARD MEMBER
4710 AUTH PLACE STE 420
SUITLAND MD 20746

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2014
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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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