FORM 1023-EZ for INICIATIVA CIUDADANA PARA EL CAMBIO

Field Data
EIN 84-4458371
Case Number EO-2020045-000358
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INICIATIVA CIUDADANA PARA EL CAMBIO
Organization’s Mailing Address 57 E LOCUST STREET
City CENTRAL ISLIP
State NY
ZIP 11722
Accounting period End 12
Primary contact name PAUL E BELLINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLOS E REYES
PRESIDENT
57 E LOCUST
CENTRAL ISLIP NY 11722

Officer/Director/Trustee Two

ARMINDA C CRUZ
TREASURER
16 GULL LANE
BRENTWOOD NY 11717

Officer/Director/Trustee Three

MARIO E CRESPO
SECRETARY
147 A NASSAU AVE
ISLIP NY 11751

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/2020
Organization Incorporation State NY
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: 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 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 CARLOS E REYES
Signature Title PRESIDENT
Signature Date 2/12/2020

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