FORM 1023-EZ for CHANGE HISTORY 180

Field Data
EIN 85-2160541
Case Number EO-2021120-000018
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGE HISTORY 180
Organization’s Mailing Address 3839 MCKINNEY AVE SUITE 155
City DALLAS
State TX
ZIP 75204
Accounting period End 1
Primary contact name ZEDRIC DOMINGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZEDRIC DOMINGUEZ
PRESDENT
3913 GANNON LANE
DALLAS TX 75237

Organization’s website SINCERE DOMINGUEZ
Organization’s email ZEDRICDOMINGUEZ@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2018
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ZEDRIC DOMINGUEZ
Signature Title PRESDENT
Signature Date 4/27/2021

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