FORM 1023-EZ for CHANGING LEADS FOUNDATION

Field	Data
EIN	47-2192457
Case Number	EO-2014323-000362
Form 1023-EZ version	62014
Eligibility Worksheet	1
Organization Name	CHANGING LEADS FOUNDATION
Organization’s Mailing Address	65 BANK STREET APT 10
City	NEW YORK
State	NY
ZIP	10014
Accounting period End	12
Primary contact name	ERIKA MCENENY
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$400.00

ERIKA MCENENY
PRESIDENT AND DIRECTOR
65 BANK STREET APT 10
NEW YORK NY 10014

KEITH HANAUER
TREASURER
65 BANK STREET
NEW YORK NY 10014

JESSICA HERLIHY
DIRECTOR
37A BEDFORD STREET
NEW YORK NY 10014

DIANE MARGISON HANAUER
DIRECTOR
11 LAKEVIEW LANE
NEW CANAAN CT 06840

ASHLEY SIMON
DIRECTOR
53 BARBARA DRIVE
NORWALK CT 06851

Organization’s website
Organization’s email
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	9/19/2014
Organization Incorporation State	DE
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	O50 - Youth Development Programs, Other
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	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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