FORM 1023-EZ for BIRTHRIGHT OF CARROLLTON

Field Data
EIN 84-3754542
Case Number EO-2020140-000101
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIRTHRIGHT OF CARROLLTON
Organization’s Mailing Address 11 W WASHINGTON ST SUITE B
City CARROLLTON
State MO
ZIP 64633
Accounting period End 12
Primary contact name KRISTINE MOLLOY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTINE MOLLOY
DIRECTOR
311 N MAIN ST
CARROLLTON MO 64633

Officer/Director/Trustee Two

JOE DON MCGAUGH
BOARD PRESIDENT
1200 BLACK BERRY LANE
CARROLLTON MO 64633

Officer/Director/Trustee Three

LINDA FEITZ
BOARD OFFICER
804 N MAIN ST
CARROLLTON MO 64633

Organization’s website BIRTHRIGHT.ORG/CARROLLTON
Organization’s email CARROLLTON@BIRTHRIGHT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2018
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P47 -
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KRISTINE MOLLOY
Signature Title DIRECTOR
Signature Date 5/15/2020

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