FORM 1023-EZ for CHANGE THE LENS INC

Field Data
EIN 86-2561825
Case Number EO-2021102-000467
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGE THE LENS INC
Organization’s Mailing Address 586 MANHATTAN AVENUE STE 3R
City BROOKLYN
State NY
ZIP 11222
Accounting period End 12
Primary contact name JASON HARPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLISON MAXWELL
TREASURER, DIRECTOR
586 MANHATTAN AVENUE STE 3R
BROOKLYN NY 11222

Officer/Director/Trustee Two

SAVANAH LEAF
PRESIDENT, DIRECTOR
586 MANHATTAN AVENUE STE 3R
BROOKLYN NY 11222

Officer/Director/Trustee Three

ROHAN BLAIR-MANGAT
VICE PRESIDENT, DIRECTOR
586 MANHATTAN AVENUE STE 3R
BROOKLYN NY 11222

Officer/Director/Trustee Four

JASON HARPER
SECRETARY, DIRECTOR
586 MANHATTAN AVENUE STE 3R
BROOKLYN NY 11222

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R22 - Minority Rights
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds No
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 JASON HARPER
Signature Title SECRETARY, DIRECTOR
Signature Date 4/1/2021

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