FORM 1023-EZ for APPALACHIAN BREASTFEEDING NETWORK

Field Data
EIN 82-0598790
Case Number EO-2017158-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPALACHIAN BREASTFEEDING NETWORK
Organization’s Mailing Address 620 SHOESTRING RIDGE ROAD
City GALLIPOLIS
State OH
ZIP 45631-8729
Accounting period End 12
Primary contact name STEPHANIE CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE CARROLL
PRESIDENT
620 SHOESTRING RIDGE ROAD
GALLIPOLIS OH 45631-8729

Officer/Director/Trustee Two

MISHELLE TRESCOTT
VICE PRESIDENT
701 JACKSON STREET
SARAHSVILLE OH 43779

Officer/Director/Trustee Three

DYAN VANSICKLE
TREASURER
1680 CLAY BANK ROAD
LOGAN OH 43138

Officer/Director/Trustee Four

JEANNA SPEARS
SECRETARY
3538 STATE ROUTE 777
GALLIPOLIS OH 45631

Officer/Director/Trustee Five

DEBBI SMITH-MOORE
MEMBERSHIP CHAIR
161 CRESCENT DRIVE
AKRON OH 44301-2016

Organization’s website WWW.APPALACHIANBREASTFEEDINGNETWORK.ORG
Organization’s email APPALACHIANBFNETWORK@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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