FORM 1023-EZ for BLISS FOUNDATION

Field Data
EIN 47-4989022
Case Number EO-2016081-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLISS FOUNDATION
Organization’s Mailing Address PO BOX 900266
City PALMDALE
State CA
ZIP 93590
Accounting period End 4
Primary contact name REGINA FREEMAN-THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REGINA FREEMAN-THOMAS
CHIEF EXECUTIVE OFFICER
37922 BIG ROCK DRIVE
PALMDALE CA 93552

Officer/Director/Trustee Two

BRENDA SMITH
SECRETARY
36705 PINE VALLEY CT
PALMDALE CA 93552

Officer/Director/Trustee Three

SOLANGE HENRIQUEZ
TREASURER
41921 MARGARITA WAY
PALMDALE CA 93551

Officer/Director/Trustee Four

IRIS ARROYO
VICE PRESIDENT
29164 POPPY MEADOWS ST
CANYON COUNTRY CA 91387

Officer/Director/Trustee Five

MELVIN THOMAS
PRESIDENT
37922 BIG ROCK DRIVE
PALMDALE CA 93552

Organization’s website BLISSFOUND.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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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