FORM 1023-EZ for ONLY MEN ABOUT CHANGE INC

Field Data
EIN 83-3008242
Case Number EO-2019186-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONLY MEN ABOUT CHANGE INC
Organization’s Mailing Address 774 FOX ST APT 3F
City BRONX
State NY
ZIP 10455
Accounting period End 12
Primary contact name RANDY STITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDY STITH
PRESIDENT
195 HOYT STREET APT 10-C
BROOKLYN NY 11217

Officer/Director/Trustee Two

DENISE JOHNSON
DIRECTOR
195 HOYT STREET APT 10-C
BROOKLYN NY 11217

Officer/Director/Trustee Three

TRACY STITH
SECRETARY
444 LEXINGTON AVE APT 3-B
BROOKLYN NY 11221

Officer/Director/Trustee Four

EDWARD STITH
VICE PRESIDENT
198 BOND STREET 3-G
BROOKLYN NY 11217

Officer/Director/Trustee Five

JENNIE STITH
DIRECTOR
774 FOX STREET 3-F
BRONX NY 10455

Organization’s website ONLYMENABOUTCHANGE.ORG
Organization’s email ONLYMENABOUTCHANGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RANDY STITH
Signature Title PRESIDENT
Signature Date 7/2/19

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