FORM 1023-EZ for KICKING FOR CHANGE

Field Data
EIN 81-4516123
Case Number EO-2018059-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KICKING FOR CHANGE
Organization’s Mailing Address 3966 ATLANTA HIGHWAY 385
City MONTGOMERY
State AL
ZIP 36109
Accounting period End 12
Primary contact name CLIFFORD PATTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLIFFORD PATTON
EXECUTIVE DIRECTOR
2126 CAPITOL AVE
MONTGOMERY AL 36107

Officer/Director/Trustee Two

LADONNA PATTON
BOARD MEMBER
2126 CAPITOL AVE
MONTGOMERY AL 36107

Officer/Director/Trustee Three

JAMAL THOMAS
BOARD MEMBER
5701 E SHIRLEY LANE APT 1506
MONTGOMERY AL 36117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/16
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 CLIFFORD PATTON
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/26/18

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