FORM 1023-EZ for RE-BIRTH EQUITY ALLIANCE

Field Data
EIN 83-1396730
Case Number EO-2018214-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RE-BIRTH EQUITY ALLIANCE
Organization’s Mailing Address 3641 HARDY STREET
City FORT WORTH
State TX
ZIP 76106
Accounting period End 6
Primary contact name JENNIFER SARDUY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SARDUY
PRESIDENT
3641 HARDY STREET
FORT WORTH TX 76106

Officer/Director/Trustee Two

LYNNE EVANS
VICE PRESIDENT
806 KENNEBEC AVENUE APT 4
TAKOMA PARK MD 20912

Officer/Director/Trustee Three

TIFFANY WICKS
DIRECTOR OF FUNDRAISING
901 KATHRYN DRIVE
LEWISVILLE TX 75067

Officer/Director/Trustee Four

JENNIFER JEPPSON
TREASURER
1508 LANCELOT AVENUE
WOLFFORTH TX 79382

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER SARDUY
Signature Title PRESIDENT
Signature Date 7/31/18

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