FORM 1023-EZ for BE THE CHANGE MOVEMENT INC

Field Data
EIN 85-1873717
Case Number EO-2020239-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BE THE CHANGE MOVEMENT INC
Organization’s Mailing Address 5290 ALHAMBRA VALLEY ROAD
City MARTINEZ
State CA
ZIP 94553
Accounting period End 12
Primary contact name MONICA DOHERTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA DOHERTY
EXECUTIVE DIRECTOR
160 ATHOL AVENUE B
OAKLAND CA 94606

Officer/Director/Trustee Two

JEFF MALONE
PRESIDENT
10195 HIGHWAY 9
BEN LOMAND CA 95005

Officer/Director/Trustee Three

JESI TINKER-REIN
CHIEF FINANCIAL OFFICER/TREASURER
12130 NORMAN LANE
AUBURN CA 95603

Officer/Director/Trustee Four

MARINA BECERRA
SECRETARY
3704 INDEPENDENCE PLACE
ROCKLIN CA 95677

Organization’s website
Organization’s email BETHECHANGEMVMT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 Yes
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 MONICA DOHERTY
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/24/2020

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