| Field | Data |
|---|---|
| EIN | 82-4291732 |
| Case Number | EO-2018043-000317 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHANGE CARE FOUNDATION |
| Organization’s Mailing Address | 9898 BISSONET ST STE 430-O |
| City | HOUSTON |
| State | TX |
| ZIP | 77036 |
| Accounting period End | 12 |
| Primary contact name | VIVIAN KIFFA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
VIVIAN KIFFA
PRESIDENT, DIRECTOR
7006 CAPE FORWARD DR
HOUSTON TX 77083
AFOWIRI FONDZENYUY
SECRETARY, DIRECTOR
12219 PINEGATE CT
PINEVILLE NC 28134
REGINA ESIM
TREASURER, DIRECTOR
8315 SONESTA POINT LN
HOUSTON TX 77083
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/2/18 |
| Organization Incorporation State | TX |
| 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: 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 | Yes |
| 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 | VIVIAN KIFFA |
| Signature Title | PRESIDENT, DIRECTOR |
| Signature Date | 2/9/18 |
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