FORM 1023-EZ for SIMPLY BIRTHDAYS

Field Data
EIN 47-3191879
Case Number EO-2015140-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIMPLY BIRTHDAYS
Organization’s Mailing Address 2375 SUMMER STREET SE
City SALEM
State OR
ZIP 97302
Accounting period End 12
Primary contact name SHERONNE BLASI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERONNE BLASI
BOARD CO-CHAIR
2375 SUMMER STREET SE
SALEM OR 97302

Officer/Director/Trustee Two

LAURA PEREZ
BOARD CO-CHAIR
4089 OAKMAN STREET SE
SALEM

Officer/Director/Trustee Three

BEVIN CLAPPER
BOARD MEMBER
2375 SUMMER STREET SE
SALEM OR 97302

Officer/Director/Trustee Four

MINDY STUBENRAUCH
BOARD MEMBER
2375 SUMMER STREET SE
Salem OR 97302

Organization’s website
Organization’s email SHERONNEBLASI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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
Signature Title
Signature Date

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