FORM 1023-EZ for CHANGE OF LIFE

Field Data
EIN 84-4424293
Case Number EO-2021272-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGE OF LIFE
Organization’s Mailing Address 1600 HYLAN AVE
City HAMLET
State NC
ZIP 28345
Accounting period End 12
Primary contact name THOMAS MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MCDONALD
PRESIDENT
1600 HYLAN AVE
HAMLET NC 28345

Officer/Director/Trustee Two

MONIQUE BOYCE
TREASURER
1600 HYLAN AVE
HAMLET NC 28345

Officer/Director/Trustee Three

THOMASENA DOUGLAS
SECRETARY
1600 HYLAN AVE
HAMLET NC 28345

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 THOMAS MCDONALD
Signature Title PRESIDENT
Signature Date 9/27/2021

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