FORM 1023-EZ for BIRTHRIGHT USA NATIONAL
| Field | Data |
|---|---|
| EIN | 47-3239693 |
| Case Number | EO-2021245-000504 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BIRTHRIGHT USA NATIONAL |
| Organization’s Mailing Address | 1804 N ALGUIRE AVE |
| City | SIOUX FALLS |
| State | SD |
| ZIP | 57107-7024 |
| Accounting period End | 12 |
| Primary contact name | BRITTNEY MELLEMA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRIAN SYKORA
PRESIDENT
5901 S DUBLIN AVE
SIOUX FALLS SD 57106
Officer/Director/Trustee Two
DANA ROTH
TREASURER
8504 W WALNUT ST
SIOUX FALLS SD 57107-7024
Officer/Director/Trustee Three
MARIA KRELL
VICE PRESIDENT
PO BOX 735
TEA SD 57064
Officer/Director/Trustee Four
KATHLEEN DOSSETT
SECRETARY
4305 S HOLBROOK AVE
SIOUX FALLS SD 57106
Officer/Director/Trustee Five
BRITTNEY MELLEMA
DIRECTOR
1804 N ALGUIRE AVE
SIOUX FALLS SD 57107-7024
| Organization’s website | WWW.BIRTHRIGHT.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/3/2015 |
| Organization Incorporation State | SD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BRITTNEY MELLEMA |
| Signature Title | DIRECTOR |
| Signature Date | 8/31/2021 |
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