FORM 1023-EZ for REPRODUCTIVE LOSS NETWORK

Field Data
EIN 86-3292394
Case Number EO-2021183-000548
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REPRODUCTIVE LOSS NETWORK
Organization’s Mailing Address 1210 ROBBIE LN
City GALLATIN
State TN
ZIP 37066
Accounting period End 4
Primary contact name PATRICIA LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA LEWIS
SECRETARY TREASURER
1210 ROBBIE LANE
GALLATIN TN 37066

Organization’s website WWW.REPRODUCTIVELOSSNETWORK.ORG
Organization’s email HELLO@REPRODUCTIVELOSSNETWORK.ORG
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 PATRICIA LEWIS
Signature Title SECRETARY TREASURER
Signature Date 6/30/2021

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