FORM 1023-EZ for FREE CHANGING LIVES

Field Data
EIN 45-5638158
Case Number EO-2017292-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREE CHANGING LIVES
Organization’s Mailing Address 3390 COUNTRY VILLAGE ROAD
City RIVERSIDE
State CA
ZIP 92509
Accounting period End 12
Primary contact name LEWIS FREE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEWIS FREE
PRESIDENT
PO BOX 3332
RIVERSIDE CA 91730

Officer/Director/Trustee Two

ANGELA REMBERT
SECRETARY
25399 HEMLOCK AVEENUE
MORENO VALLEY CA 92557

Officer/Director/Trustee Three

KIMBERLY WOODARD
TREASURER
182 WEST WALNUT APT B
RIALTO CA 92376

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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