FORM 1023-EZ for LIFE AFTER MISCARRIAGE PERINATAL LOSS AND STILLBIRTH

Field Data
EIN 83-1178479
Case Number EO-2018222-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE AFTER MISCARRIAGE PERINATAL LOSS AND STILLBIRTH
Organization’s Mailing Address 41911 MORELAND MINE TERRACE
City ALDIE
State VA
ZIP 20105-3085
Accounting period End 12
Primary contact name SARAH C NOVAC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH NOVAC
DIRECTOR
41911 MORELAND MINE TERRACE
ALDIE VA 20105-3085

Officer/Director/Trustee Two

ASHLEY TIBBENS
DIRECTOR
307 STUART CT
BERRYVILLE VA 22611-1408

Organization’s website
Organization’s email NORTHERNVIRGINIALAMPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 SARAH NOVAC
Signature Title DIRECTOR
Signature Date 8/8/18

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