FORM 1023-EZ for CITIZENS AND COMMUNITIES CREATING CHANGE

Field Data
EIN 85-2054269
Case Number EO-2020210-000765
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CITIZENS AND COMMUNITIES CREATING CHANGE
Organization’s Mailing Address 19000 BAILEY LANE
City FORNEY
State TX
ZIP 75126
Accounting period End 12
Primary contact name DEIRDRE NEELY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEIRDRE NEELY
CHIEF EXECUTIVE OFFICER
19000 BAILEY LANE
FORNEY TX 75126

Officer/Director/Trustee Two

SHANEISHA HICKSON
CHIEF OPERATING OFFICER
201 S 7TH STR APT 5
COPPERAS COVE TX 76522

Officer/Director/Trustee Three

ESHA RATCLIFF
PRESIDENT
2180 CRANSTON RD
UNIVERSITY HEIGHTS OH 44118

Officer/Director/Trustee Four

SARA KONISHI
SECRETARY
8258 TURKEY RUN DR
COLORADO SPRINGS CO 80920

Officer/Director/Trustee Five

KIMBERLY BYERS
TREASURER
3 KIMMER COURT
FREDERICKSBURG VA 22406

Organization’s website
Organization’s email CICO4CHANGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 DEIRDRE NEELY
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 7/25/2020

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