FORM 1023-EZ for ICON OF CHANGE INITIATIVES

Field Data
EIN 83-3195912
Case Number EO-2019044-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ICON OF CHANGE INITIATIVES
Organization’s Mailing Address 71 MILDRED LANE
City FORD
State NJ
ZIP 8863
Accounting period End 12
Primary contact name ELIZABETH ADEBISI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FOWOKE OTUFALE
TRUSTEE
15 SCENIC HILLS DR
BLAIRSTOWN NJ 7825

Officer/Director/Trustee Two

OMOZE ITAPU
TRUSTEE
384 STUVESANT AVE APT 16
IRVINGTON NJ 7111

Officer/Director/Trustee Three

ELIZABETH ADEBISI
DIRECTOR
71 MILDRED LANE
FORD NJ 8863

Officer/Director/Trustee Four

KUDIRAT WILLIAMS
TRUSTEE
404 STUYVESANT AVE APT 5
IRVINGTON NJ 7111

Officer/Director/Trustee Five

JENNIFER SOBANJO
TRUSTEE
577-579 S 10TH ST
NEWARK NJ 7103

Organization’s website WWW.ICONOFCHANGE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/19
Organization Incorporation State NJ
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: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
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 ELIZABETH ADEBISI
Signature Title DIRECTOR
Signature Date 2/11/19

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