FORM 1023-EZ for THE BLACK BIRTH EXPERIENCE

Field Data
EIN 85-2292334
Case Number EO-2020218-000074
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLACK BIRTH EXPERIENCE
Organization’s Mailing Address 2689 ROSSELLE STREET STUDIO D
City JACKSONVILLE
State FL
ZIP 32225
Accounting period End 12
Primary contact name BRITTANY FADIORA OR ARREN MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY FADIORA
PRESIDENT
2652 MOORSFIELD LAND
JACKSONVILLE FL 32225

Officer/Director/Trustee Two

PAIGE JOSEPH
VICE PRESIDENT
2067 TYSON LAKE DRIVE
JACKSONVILLE FL 32221

Officer/Director/Trustee Three

ARREN MILLS
SECRETARY
1095 INGLESIDE AVENUE
JACKSONVILLE FL 32205

Officer/Director/Trustee Four

JADE LILLY
TREASURER
867 NW 133RD AVENUE
PEMBROKE PINES FL 33028

Organization’s website WWW.THEBLACKBIRTHEXPERIENCE.ORG
Organization’s email ARREN@THEBLACKBIRTHEXPERIENCE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 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 ARREN MILLS
Signature Title SECRETARY
Signature Date 8/3/2020

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