FORM 1023-EZ for CITIZENS FOR MIDWIFERY

Field Data
EIN 58-2221047
Case Number EO-2017157-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITIZENS FOR MIDWIFERY
Organization’s Mailing Address 6493 FLAMINGO COURT
City MELBOURNE VILLAGE
State FL
ZIP 32904-2240
Accounting period End 12
Primary contact name NASIMA PFAFFL PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NASIMA PFAFFL
PRESIDENT
6493 FLAMINGO COURT
MELBOURNE VILLAGE FL 32904-2240

Officer/Director/Trustee Two

WILLA POWELL
TRESURER
395 CANTERBURY ROAD
ROCHESTER NY 14607-3428

Officer/Director/Trustee Three

JEANETTE MCCULLOCH
BOARD MEMBER
115 FIRST STREET
ITHACA NY 14850-3405

Officer/Director/Trustee Four

MICHELE WILLIAMA
BOARD MEMBER
811 JASSAMINE WAY APT 2
FORT LEE NJ 07024-1522

Organization’s website WWW.CFMIDWIFERY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/1996
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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