FORM 1023-EZ for MAKE A CHANGE YOUTH AND SENIOR SERVICE INC

Field Data
EIN 47-1605365
Case Number EO-2018248-000022
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAKE A CHANGE YOUTH AND SENIOR SERVICE INC
Organization’s Mailing Address 259 KIRKLEY PLACE EAST
City Baton Rouge
State LA
ZIP 70815
Accounting period End 8
Primary contact name BONITA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BONITA WIlliams
PRESIDENT
250 KIRKLEY PLACE EAST
BATON ROUGE LA 70815

Officer/Director/Trustee Two

VERNESSA FRANKLIN
TRUSTEE
138 BROWN STREET
JACKSON MS 39213

Officer/Director/Trustee Three

KENTRELL WILLIAMS
DIRECTOR
250 KIRKLEY PLACE EAST
BATON ROUGE LA 70815

Officer/Director/Trustee Four

FREDDIE HOOVER
TRUSTEE
136 BROWN STREET
JACKSON MS 39213

Officer/Director/Trustee Five

ALLEN FRANKLIN JR
TRUSTEE
3842 KINGS CANYON N
BATON ROUGE LA 70814

Organization’s website
Organization’s email MACYS_BR@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 KENTRELL WILLIAMS
Signature Title DIRECTOR
Signature Date 8/31/18

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