FORM 1023-EZ for INCLUSIVE BIRTH COLLECTIVE

Field Data
EIN 85-0917580
Case Number EO-2020127-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INCLUSIVE BIRTH COLLECTIVE
Organization’s Mailing Address 643 FOXTAIL ST
City FORT COLLINS
State CO
ZIP 80524-2189
Accounting period End 12
Primary contact name KATY IENGO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATY IENGO
PRESIDENT
643 FOXTAIL ST
FORT COLLINS CO 80524-2189

Officer/Director/Trustee Two

JUSTINA NAZARIO JOHSNON
VICE PRESIDENT
3015 SHERIDAN AVE
LOVELAND CO 80538

Officer/Director/Trustee Three

JENNIFER EDWARDS JOHNSON
TREASURER
3512 TERRY POINT DR
FORT COLLINS CO 80524

Organization’s website WWW.INCLUSIVEBIRTHCOLLECTIVE.COM
Organization’s email INCLUSIVEBIRTHCOLLECTIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATY IENGO
Signature Title PRESIDENT
Signature Date 5/4/2020

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