FORM 1023-EZ for MY ONE BIRTHDAY

Field Data
EIN 81-3935692
Case Number EO-2020114-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY ONE BIRTHDAY
Organization’s Mailing Address 4827 S KILLARNEY COURT
City AURORA
State CO
ZIP 80015
Accounting period End 12
Primary contact name GINA DOOLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA DOOLEY
PRESIDENT
4827 S KILLARNEY COURT
AURORA CO 80015

Officer/Director/Trustee Two

DAWN DANNER
SECRETARY
11221 JORDAN COURT
PARKER CO 80134

Officer/Director/Trustee Three

KURT NANTKES
TREASURER
7850 S BLACKSTONE PARKWAY
AURORA CO 80016

Officer/Director/Trustee Four

MIKE FENGLER
DIRECTOR
4827 S KILLARNEY COURT
AURORA CO 80015

Officer/Director/Trustee Five

AMBER SISK
DIRECTOR
4827 S KILLARNEY COURT
AURORA CO 80015

Organization’s website WWW.MYONEBIRTHDAY.ORG
Organization’s email MYONEBIRTHDAY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O54 - Youth Development - Citizenship Programs
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GINA DOOLEY
Signature Title PRESIDENT
Signature Date 4/21/2020

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