FORM 1023-EZ for DISABLED AMERICANS FOR CHANGE

Field Data
EIN 81-3612839
Case Number EO-2016236-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DISABLED AMERICANS FOR CHANGE
Organization’s Mailing Address 20777 NW TRAILWALK DR APT D107
City BEAVERTON
State OR
ZIP 97006
Accounting period End 1
Primary contact name AMANDA SIEBE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA SIEBE
PRESIDENT
20777 NW TRAILWALK DR APT D107
BEAVERTON OR 97006

Officer/Director/Trustee Two

DANNEL MARCHESE
SECRETARY TREASURER
2136 N GRAY STREET
CORNELIUS OR 97113

Officer/Director/Trustee Three

WAYNE STILES
VICE PRESIDENT
216 E MAPLE ST
BRYAN OH 43506

Organization’s website WWW.DISABLEDAMERICANSFORCHANGE.ORG
Organization’s email DISABLEDAMERICANS4CHANGE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
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
Signature Title
Signature Date

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