FORM 1023-EZ for EYE FOR CHANGE YOUTH FAMILY SERVICES INC

Field Data
EIN 81-3410932
Case Number EO-2016272-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EYE FOR CHANGE YOUTH FAMILY SERVICES INC
Organization’s Mailing Address 3100 EAST 45TH STREET - SUITE 314
City CLEVELAND
State OH
ZIP 44127
Accounting period End 12
Primary contact name ALFONZO BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALFONZO BAILEY
ORGANIZATION DIRECTOR
1275 WEST 25TH STREET APT 275
CLEVELAND OH 44113

Officer/Director/Trustee Two

OLIVIA CLARK
BOARD MEMBER
1361 WEST 114TH ST APT 2
CLEVELAND OH 44102

Officer/Director/Trustee Three

DAVID BROWN
BOARD MEMBER
11720 LIBBY ROAD
MAPLE HTS OH 44137

Officer/Director/Trustee Four

TAMEKA BRAGGS
BOARD MEMBER
5165 CATHERINE ST
MAPLE HTS OH 44137

Organization’s website HTTP://EYEFORCHANGEFAMILYSERVICES.COM/
Organization’s email EYEFORCHANGE216@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 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
Signature Title
Signature Date

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