FORM 1023-EZ for KING CITY IN BLOOM

Field Data
EIN 81-3168949
Case Number EO-2016356-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KING CITY IN BLOOM
Organization’s Mailing Address P O BOX 1776
City KING CITY
State CA
ZIP 93930-1776
Accounting period End 12
Primary contact name DAYMOND SLATEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREL SLATEN
PRESIDENT
214 RIO VISTA DR
KING CITY CA 93930-3515

Officer/Director/Trustee Two

PHEOBE CHANEY
SECRETARY
46385 PINE MEADOW DR
KING CITY CA 93930-9618

Officer/Director/Trustee Three

DAYMOND SLATEN
CHIEF FINANCIAL OFFICER
214 RIO VISTA DR
KING CITY CA 93930-3515

Officer/Director/Trustee Four

KAREN JERNIGAN
VICE PRESIDENT
206 N MILDRED AVE
KING CITY CA 93930-3237

Officer/Director/Trustee Five

JOHN PEKEMA
BOARD MEMBER
46397PINE MEADOW DR
KING CITY CA 93930-9784

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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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