FORM 1023-EZ for BIRTH BEYOND BARS

Field Data
EIN 84-3222943
Case Number EO-2019294-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIRTH BEYOND BARS
Organization’s Mailing Address 10229 37TH PL SW
City SEATTLE
State WA
ZIP 98146
Accounting period End 10
Primary contact name SARAH MOSHONTZ DE LA ROCHA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH MOSHONTZ DE LA ROCHA
DIRECTOR
10229 37TH PL SW
SEATTLE WA 98146

Officer/Director/Trustee Two

ALEX SOSA
CHAIR
20427 NE 64TH PL
REDMOND WA 98053

Officer/Director/Trustee Three

NANCY ANDERSON
SECRETARY
3918 14TH AVE S
SEATTLE WA 98108

Officer/Director/Trustee Four

ERIKA PABLO
BOARD MEMBER
643 SW 107TH ST
SEATTLE WA 98146

Officer/Director/Trustee Five

CAMIE GOLDHAMMER
BOARD MEMBER
3545 S HUDSON ST
SEATTLE WA 98118

Organization’s website WWW.BIRTHBEYONDBARS.COM
Organization’s email INFO@BIRTHBEYONDBARS.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R61 - Reproductive Rights
Organization’s purpose Charitable: No
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 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 SARAH MOSHONTZ DE LA ROCHA
Signature Title DIRECTOR
Signature Date 10/17/19

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