FORM 1023-EZ for BIRTHBOX INC

Field Data
EIN 83-4401966
Case Number EO-2019119-000443
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIRTHBOX INC
Organization’s Mailing Address 2768 SAN LUIS COURT
City SACRAMENTO
State CA
ZIP 95818-3326
Accounting period End 12
Primary contact name LEEANN DANIELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEEANN DANIELSON
CEO
2768 SAN LUIS COURT
SACRAMENTO CA 95818-3326

Officer/Director/Trustee Two

JOSIAH DANIELSON
COO
2768 SAN LUIS COURT
SACRAMENTO CA 95818-3326

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
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 No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 LEEANN DANIELSON
Signature Title CEO
Signature Date 4/27/19

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