FORM 1023-EZ for CHANGE 4 GREATNESS

Field Data
EIN 83-2966514
Case Number EO-2019031-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGE 4 GREATNESS
Organization’s Mailing Address 995 N PONTIAC TRL PO BOX 861
City WALLED LAKE
State MI
ZIP 48390
Accounting period End 12
Primary contact name FRANCES JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCES JACKSON
PRESIDENT/DIRECTOR
300 EAGLE POND DR APT 446
COMMERCE TOWNSHIP MI 48390

Officer/Director/Trustee Two

DEREK GREEBON
TREASURER/ VICE PRESIDENT
2937 N NORTHWEST
HOBBS NM 88240

Officer/Director/Trustee Three

DOMINIQUE JOHNSON
SECRETARY
12749 KENTUCKY
DETROIT MI 48238

Officer/Director/Trustee Four

FAITH JACKSON
DIRECTOR
2937 N NORTHWEST
HOBBS MI 88240

Officer/Director/Trustee Five

DAVID BRYANT
SECRETARY
22277 W12 MILE
SOUTHFIELD MI 48034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/15
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 FRANCES JACKSON
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/2/19

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