FORM 1023-EZ for CYCLIST FOR CHANGE INC

Field Data
EIN 81-0698803
Case Number EO-2015341-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CYCLIST FOR CHANGE INC
Organization’s Mailing Address 3705 SUNNY HILL DR
City LOGANVILLE
State GA
ZIP 30052-6411
Accounting period End 12
Primary contact name JOYCE JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTONIO SERRANO
COCHAIR
3110 OAK HAMPTON WAY
DULUTH GA 30096

Officer/Director/Trustee Two

JOYCE JONES
CHAIRMAN
3705 SUNNY HILL DR
LOGANVILLE GA 30052-6411

Officer/Director/Trustee Three

MICHAEL CRUM
CFO
116 ARBOUR RUN
SUWANEE GA 30024

Officer/Director/Trustee Four

WENDY MEINERT
SECERTARY
2029 WINFIELD DR
MONROE GA 30655

Organization’s website WWW.CYCLISTFORCHANGE.ORG
Organization’s email JJONESGONE@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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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