FORM 1023-EZ for GLOBAL CHANGE FUND

Field Data
EIN 83-3359755
Case Number EO-2019269-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLOBAL CHANGE FUND
Organization’s Mailing Address PO BOX 38141
City HONOLULU
State HI
ZIP 96837
Accounting period End 12
Primary contact name SHANNON NOELLE RIVERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON RIVERA
EXECUTIVE DIRECTOR | FOUNDER
1212 NUUANU AVE 2506
HONOLULU HI 96817

Officer/Director/Trustee Two

AARON WELLMAN
BOARD OF DIRECTOR
2542 HILTON HEAD PL
SAN DIEGO CA 92019

Officer/Director/Trustee Three

MARLINA MORENO
BOARD OF DIRECTOR
1759 LINWOOD ST
SAN DIEGO CA 92110

Organization’s website WWW.GLOBALCHANGEFUND.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/19
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 SHANNON RIVERA
Signature Title EXECUTIVE DIRECTOR | FOUNDER
Signature Date 9/23/19

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