FORM 1023-EZ for SAFER BIRTH IN BAMA INC

Field Data
EIN 47-4993828
Case Number EO-2015264-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAFER BIRTH IN BAMA INC
Organization’s Mailing Address 3960 COUNTY ROAD 30
City FLORENCE
State AL
ZIP 35634
Accounting period End 12
Primary contact name JESSICA DEE THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA THOMPSON
PRESIDENT SECRETARY TREASURER
3960 COUNTY ROAD 30
FLORENCE AL 35634

Officer/Director/Trustee Two

CHARLES THOMPSON
VICE PRESIDENT
3960 COUNTY ROAD 30
FLORENCE AL 35634

Officer/Director/Trustee Three

CAMILLE BENNETT
DIRECTOR
100 EASTWIND COVE
FLORENCE AL 35634

Officer/Director/Trustee Four

CASEY PATTON
DIRECTOR
414 PLUM STREET
FLORENCE AL 35630

Organization’s website WWW.SAFERBIRTHINBAMA.ORG
Organization’s email SAFERBIRTHINBAMA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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