FORM 1023-EZ for COMMUNITY DOULA BIRTH PROGRAM
| Field | Data |
|---|---|
| EIN | 47-1261765 |
| Case Number | EO-2015012-000311 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY DOULA BIRTH PROGRAM |
| Organization’s Mailing Address | 335 SPRING STREET |
| City | PORTLAND |
| State | ME |
| ZIP | 04102 |
| Accounting period End | 6 |
| Primary contact name | MELISSA TOMBACK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
MELISSA TOMBACK
TREASURER
335 SPRING STREET
Portland ME 04102
Officer/Director/Trustee Two
JULIE VIRGIN
PRESIDENT
8 ALBA STREET APT 1
PORTLAND ME 04103
Officer/Director/Trustee Three
REBECCA GOODWIN
VICE PRESIDENT
612 NEW GLOUCESTER ROAD
NORTH YARMOUTH ME 04097
Officer/Director/Trustee Four
AMANDA POWELL
SECRETARY
55 HARRIS AVENUE APT 2
PORTLAND ME 04103
Officer/Director/Trustee Five
SUE JELLY
ASSISTANT TREASURER
95 WEST ELM STREET APT 8
YARMOUTH ME 04103
| Organization’s website | COMMUNITYDOULABIRTHPROGRAM@GMAIL.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/4/2014 |
| Organization Incorporation State | ME |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | Yes |
| 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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