FORM 1023-EZ for CHANGING LANES NWA
| Field | Data |
|---|---|
| EIN | 84-3049234 |
| Case Number | EO-2019284-000692 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHANGING LANES NWA |
| Organization’s Mailing Address | 525 SOUTH 13TH |
| City | ROGERS |
| State | AR |
| ZIP | 72758 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER KREIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JENNIFER KREIN
ACTING BOARD CHAIR
525 S 13TH STREET
ROGERS AR 72758
Officer/Director/Trustee Two
TIFFANY KELL
MEMBER
1255 23RD STREET NW SUITE 350
LITTLE ROCK AR 72002
Officer/Director/Trustee Three
HALEY DODD
MEMBER
808 N MAIN ST
BENTONVILLE AR 72712
Officer/Director/Trustee Four
MADELINE HUTSON
MEMBER
2525 WEST NEW HOPE ROAD
ROGERS AR 72712
Officer/Director/Trustee Five
JESSICA VILLARREAL
MEMBER
900 SE 13TH CT
BENTONVILLE AR 72712
| Organization’s website | |
|---|---|
| Organization’s email | CHANGINGLANESNWA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/9/19 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P30 - Children's, Youth Services |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | JENNIFER KREIN |
| Signature Title | ACTING BOARD CHAIR |
| Signature Date | 10/9/19 |
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