FORM 1023-EZ for HILL COUNTRY BIRTH CENTER

Field Data
EIN 85-1690531
Case Number EO-2021091-000687
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HILL COUNTRY BIRTH CENTER
Organization’s Mailing Address 1407 N WATER ST
City BURNET
State TX
ZIP 78611
Accounting period End 12
Primary contact name ASHLEY COLLIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY COLLIE
EXECUTIVE DIRECTOR
301 JULIE STREET
BURNET TX 78611

Organization’s website HTTPS://WWW.BURNETMIDWIFE.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E42 - Family Planning Centers
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 ASHLEY COLLIE
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/23/2021

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