FORM 1023-EZ for BIRTH QUEEN INC

Field Data
EIN 86-2485502
Case Number EO-2021104-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIRTH QUEEN INC
Organization’s Mailing Address 311 W 127TH ST APT 309
City NEW YORK
State NY
ZIP 10027
Accounting period End 12
Primary contact name JOANNA Y TSAI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL NICKS
CEO
311 W 127TH ST APT 309
NEW YORK NY 10027

Officer/Director/Trustee Two

SAMUEL LYONS
CFO
311 W 127TH ST APT 309
NEW YORK NY 10027

Officer/Director/Trustee Three

IMANI DAVIS
SECRETARY
311 W 12TH ST APT 309
NEW YORK NY 10027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2021
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 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 RACHEL NICKS
Signature Title CEO
Signature Date 4/7/2021

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