FORM 1023-EZ for HUDSON VALLEY BIRTH NETWORK INC

Field Data
EIN 83-1043121
Case Number EO-2018239-000625
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUDSON VALLEY BIRTH NETWORK INC
Organization’s Mailing Address 16 STANWOOD ROAD
City MOUNT KISCO
State NY
ZIP 10549
Accounting period End 12
Primary contact name JULIETTA APPLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIRA BARTLETT
PRESIDENT
16 STANWOOD ROAD
MOUNT KISCO NY 10549

Officer/Director/Trustee Two

JULIETTA APPLETON
SECRETARY
16 STANWOOD ROAD
MOUNT KISCO NY 10549

Officer/Director/Trustee Three

KHAYLEN STANTON
TREASURER
16 STANWOOD ROAD
MOUNT KISCO NY 10549

Officer/Director/Trustee Four

KATHY HERRON
DIRECTOR
16 STANWOOD ROAD
MOUNT KISCO NY 10549

Officer/Director/Trustee Five

SARAH LUDWIG
DIRECTOR
16 STANWOOD ROAD
MOUNT KISCO NY 10549

Organization’s website WWW.HUDSONVALLEYBIRTHNETWORK.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E40 - Reproductive Health Care Facilities and Allied 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 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 JULIETTA APPLETON
Signature Title SECRETARY
Signature Date 8/24/18

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