FORM 1023-EZ for MEDIA FOR CHANGE INC

Field Data
EIN 83-3756844
Case Number EO-2019318-000078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDIA FOR CHANGE INC
Organization’s Mailing Address 32 WEST 131ST STREET APT 1W
City NEW YORK
State NY
ZIP 10037
Accounting period End 12
Primary contact name MAMADOU DRAME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AYOUBA HAMIDOU
CEO & FOUNDER
291 SHEPHERD AVE APT 1
BROOKLYN NY 11208

Officer/Director/Trustee Two

AMAR ARMAND FADIGA
TREASURER
1900 CROTONA AVE
BRONX NY 10457

Officer/Director/Trustee Three

ZARA MOUSSA
DEPUTY TREASURER
55 WEST 129TH STREET APT 6E
NEW YORK NY 10027

Officer/Director/Trustee Four

BOUKARY SALOGO
SECRETARY GENERAL
417 EAST 141 STREET
BRONX NY 10454

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 AYOUBA HAMIDOU
Signature Title CEO & FOUNDER
Signature Date 11/12/19

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