FORM 1023-EZ for CLAIREMONT COMMUNITY BIRTH AND WELLNESS CENTER

Field Data
EIN 83-3160175
Case Number EO-2019042-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLAIREMONT COMMUNITY BIRTH AND WELLNESS CENTER
Organization’s Mailing Address 4523 CHESHIRE STREET
City SAN DIEGO
State CA
ZIP 92117
Accounting period End 6
Primary contact name NIKKI HELMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIKKI HELMS
DIRECTOR
4523 CHESHIRE STREET
SAN DIEGO CA 92117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State CA
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 Yes
Donation of funds Yes
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 NIKKI HELMS
Signature Title DIRECTOR
Signature Date 2/7/19

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