FORM 1023-EZ for PLANTING CHANGE FOUNDATION

Field Data
EIN 84-4984142
Case Number EO-2020147-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLANTING CHANGE FOUNDATION
Organization’s Mailing Address 5771 SW 14TH STREET
City MIAMI
State FL
ZIP 33144
Accounting period End 12
Primary contact name DAVID E ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAJAL BELOW
PRESIDENT
68 ACORN COURT
ELLIJAY GA 30540

Officer/Director/Trustee Two

BERNIS TREJOS CUNNINGHAM
SECRETARY
5771 SW 14TH STREET
MIAMI FL 33144

Officer/Director/Trustee Three

ALEJANDRO ARANA ROBLETO
TREASURER
8725 SW 54TH TERRACE
MIAMI FL 33165

Officer/Director/Trustee Four

MICHAEL HOUSTON
DIRECTOR
5771 SW 14TH STREET
MIAMI FL 33144

Officer/Director/Trustee Five

KRISTA SHENNUM
VICE-PRESIDENT
141 COTTAGE STREET - APT D5
NEW HAVEN CT 06511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2019
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
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 Yes
Financial transactions with officers Yes
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 KAJAL BELOW
Signature Title PRESIDENT
Signature Date 5/21/2020

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