FORM 1023-EZ for CARS FOR LIFE CHANGES

Field Data
EIN 47-1635151
Case Number EO-2014311-000399
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARS FOR LIFE CHANGES
Organization’s Mailing Address 151 CHATHAH HEIGHTS RD STE 101
City FREDERICKSBURG
State VA
ZIP 22405
Accounting period End 12
Primary contact name FRANK KALITA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRANK KALITA
PRESIDENT/DIRECTOR
151 CHATHAM HEIGHTS RD STE 1O1
FREDERICKSBURG VA 22405

Officer/Director/Trustee Two

TAMERA ODELL
TREASURER/DIRECTOR
59 N MAIN STREET
DELEVAN NY 14042

Officer/Director/Trustee Three

JENNELL O DELL
CO-TREASURER/DIRECTOR
5546 SCRANTON RD
HAMBURG NY 14075

Organization’s website FRANKKALITA@AOL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 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 Yes
One Third Support Gifts No
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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