FORM 1023-EZ for CHANGE SOUL INC

Field Data
EIN 85-3109569
Case Number EO-2020315-000034
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGE SOUL INC
Organization’s Mailing Address 258 BEARTOOTH PKWY STE 100 PMB 1014
City DAWSONVILLE
State GA
ZIP 30534-9407
Accounting period End 12
Primary contact name TRAVIS PAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOEL K SHINN
PRESIDENT
1758 LANDON LN
BRASELTON GA 30517

Officer/Director/Trustee Two

TRAVIS PAK
SECRETARY
156 CYPRESS WOODS CT
HULL GA 30646

Organization’s website WWW.CHANGESOUL.COM
Organization’s email USGOV@CHANGESOUL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X83 - Religious Printing, Publishing
Organization’s purpose Charitable: No
Religious: Yes
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 TRAVIS PAK
Signature Title SECRETARY
Signature Date 11/8/2020

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