FORM 1023-EZ for ISLAND BIRTH ASSOCIATION

Field Data
EIN 81-2030915
Case Number EO-2018060-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISLAND BIRTH ASSOCIATION
Organization’s Mailing Address 2886 SW BERWICK DRIVE
City OAK HARBOR
State WA
ZIP 98277-8841
Accounting period End 3
Primary contact name KIM GRAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM GRAVES
PRESIDENT
2886 SW BERWICK DRIVE
OAK HARBOR WA 98277-8841

Officer/Director/Trustee Two

ABIGAIL GROSS
VICE PRESIDENT
1097 MT ERIE LANE
OAK HARBOR WA 98277-8841

Officer/Director/Trustee Three

ALYSSA WILLIS
TREASURER
2060 SAGE LN
OAK HARBOR WA 98277-8841

Officer/Director/Trustee Four

GINGER CULLEN
SECRETARY
116 NE BARRON DR APT A306
OAK HARBOR WA 98277-8841

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/16
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 ALYSSA WILLIS
Signature Title TREASURER
Signature Date 2/26/18

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