FORM 1023-EZ for CHANGING LIVES 4 EVER INC

Field Data
EIN 83-3336337
Case Number EO-2019038-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGING LIVES 4 EVER INC
Organization’s Mailing Address 330 NORTH DRIVE
City FAYETTEVILLE
State GA
ZIP 30214
Accounting period End 12
Primary contact name LISA ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA ROGERS
PRESIDENT
330 NORTH DRIVE
FAYETTEVILLE GA 30214

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 LISA ROGERS
Signature Title PRESIDENT
Signature Date 1/29/19

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