FORM 1023-EZ for REBIRTH INC

Field Data
EIN 84-2008807
Case Number EO-2019165-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REBIRTH INC
Organization’s Mailing Address 707 GITTINGS STREET
City SUFFOLK
State VA
ZIP 23434-6201
Accounting period End 5
Primary contact name VESHA JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VESHA JONES
PRESIDENT
707 GITTINGS AVE
SUFFOLK VA 23434-6201

Officer/Director/Trustee Two

CAROL DOLBERRY
SECRETARY
5900 TAJO AVE
VIRGINIA BEACH VA 23455-4636

Officer/Director/Trustee Three

LISA RENAE ANDERSON
TREASURER
116 LAKES EDGE DRIVE
SUFFOLK VA 23434-6201

Organization’s website
Organization’s email REBIRTHNONPROFIT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VESHA JONES
Signature Title PRESIDENT
Signature Date 6/12/19

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