FORM 1023-EZ for MADE TO CHANGE

Field Data
EIN 83-2715822
Case Number EO-2018347-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MADE TO CHANGE
Organization’s Mailing Address 9753 HIRSCH ROAD
City SANTEE
State CA
ZIP 92071
Accounting period End 12
Primary contact name JANEA PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY KELLEY
CEO
11352 ROCKY LANE
LAKESIDE CA 92040

Officer/Director/Trustee Two

JANEA PEREZ
CFO
9753 HIRSCH ROAD
SANTEE CA 92071

Organization’s website
Organization’s email MADETOCHANGESD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANEA PEREZ
Signature Title CFO
Signature Date 12/10/18

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