FORM 1023-EZ for PEACEFUL BIRTH PRACTICES

Field Data
EIN 84-3208018
Case Number EO-2019277-000390
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEACEFUL BIRTH PRACTICES
Organization’s Mailing Address 18744 S MORGAN STREET
City HOMEWOOD
State IL
ZIP 60430-4118
Accounting period End 12
Primary contact name PAMELA KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA KING
PRESIDENT
18744 S MORGAN STREET
HOMEWOOD IL 60430-4118

Officer/Director/Trustee Two

MELODY BYRD
SECRETARY
PO BOX 1473
ALHAMBRA CA 91802

Officer/Director/Trustee Three

DARLENE LEAVY-JACKSON
TREASURER
3428 218TH PLACE
MATTESON IL 60443-2770

Officer/Director/Trustee Four

RICHARD MOODY
DIRECTOR
7440 S VERNON
CHICAGO IL 60619

Officer/Director/Trustee Five

STEPHANIE JAMES
DIRECTOR
309 CENTRAL AVENUE
MATTESON IL 60443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 PAMELA KING
Signature Title PRESIDENT
Signature Date 9/30/19

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