FORM 1023-EZ for SQUAT FOR CHANGE INCORPORATED

Field Data
EIN 83-4595968
Case Number EO-2019137-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SQUAT FOR CHANGE INCORPORATED
Organization’s Mailing Address 3105 E BANISTER RD
City ST AUGUSTINE
State FL
ZIP 32092-5095
Accounting period End 12
Primary contact name DONTE M PALMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROXY GARCIA MARCUS PALMER
SECRETARY
2411 CANEY WOOD COURT SOUTH
JACKSONVILLE FL 32218-9097

Officer/Director/Trustee Two

LAKEISHA PALMER
BOARD CHAIR
3105 E BANISTER RD
ST AUGUSTINE FL 32092-5095

Officer/Director/Trustee Three

LAWRENCE PALMER
TREASURER
409 N 66TH STREET
PHILADELPHIA PA 19151-4007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 LAKEISHA PALMER
Signature Title BOARD CHAIR
Signature Date 5/15/19

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