FORM 1023-EZ for CHANGIN LIVES HOPE ASSOCIATION

Field Data
EIN 84-3138998
Case Number EO-2019273-000408
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGIN LIVES HOPE ASSOCIATION
Organization’s Mailing Address 1311 GREER
City SAN ANTONIO
State TX
ZIP 78210
Accounting period End 12
Primary contact name BIANCA CASTORENO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BIANCA CASTORENO
CEO
1311 GREER
SAN ANTONIO TX 78210

Officer/Director/Trustee Two

MONICA CLARK
CFO
8639 FAIRHAVEN ST
SAN ANTONIO TX 78229

Officer/Director/Trustee Three

LAURA PEREZ
SECRETARY
5019 FRANK BORMAN
SAN ANTONIO TX 78219

Organization’s website
Organization’s email BIANCAC@CHANGINLIVES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
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 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 BIANCA CASTORENO
Signature Title CEO
Signature Date 9/26/19

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