FORM 1023-EZ for BORN INC

Field Data
EIN 81-3458959
Case Number EO-2018128-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORN INC
Organization’s Mailing Address 15 HAWTHORNE DR N APT 1
City NEW LONDON
State CT
ZIP 6321
Accounting period End 12
Primary contact name TIERRA SPENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIERRA SPENCE
PRESIDENT, DIRECTOR
PO BOX 681875
MIAMI FL 33168

Officer/Director/Trustee Two

SONYA STANCIL
SECRETARY, DIRECTOR
712 HADLEY RD
RALEIGH NC 27610

Officer/Director/Trustee Three

CLARICE SPENCE
TREASURER, DIRECTOR
1926 BOAZ RD
RALEIGH NC 27610

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/16
Organization Incorporation State CT
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: Yes
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 Yes
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 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 TIERRA SPENCE
Signature Title PRESIDENT, DIRECTOR
Signature Date 4/30/18

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