FORM 1023-EZ for EAST ALABAMA BIRTH VILLAGE

Field Data
EIN 47-5678404
Case Number EO-2015336-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAST ALABAMA BIRTH VILLAGE
Organization’s Mailing Address 215 WILLOW CREEK RD
City AUBURN
State AL
ZIP 36832
Accounting period End 6
Primary contact name CORINNE UNRUH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CORINNE UNRUH
PRESIDENT
549 SHERWOOD DR
AUBURN AL 36830

Officer/Director/Trustee Two

CHERYL BROWN
TREASURER
2877 COUNTY RD 31
NOTASULGA AL 36866

Officer/Director/Trustee Three

ERIN BROWN
VICE PRESIDENT
462 CARY DR
AUBURN AL 36832

Officer/Director/Trustee Four

SHERINA HILL
SECRETARY
1783 ROANOKE LN
AUBURN AL 36830

Officer/Director/Trustee Five

LISA HORSTKAMP
DIRECTOR
336 LEE ROAD 268
VALLEY AL 36854

Organization’s website WWW.BIRTHVILLAGE.ORG
Organization’s email EASTALABAMABIRTHVILLAGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2015
Organization Incorporation State AL
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
Signature Title
Signature Date

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