FORM 1023-EZ for PERFORMANCE CHANGERS

Field Data
EIN 84-3438552
Case Number EO-2019303-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERFORMANCE CHANGERS
Organization’s Mailing Address 6225 LERNER WAY
City LANSING
State MI
ZIP 48911
Accounting period End 12
Primary contact name ROBIN D FERRIBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM LYKES
DIRECTOR AND PRESIDENT
6225 LERNER WAY
LANSING MI 48911

Officer/Director/Trustee Two

MIKE WILLIAM
DIRECTOR AND TREASURER
49285 TOGOWTEE PASS
BELLEVILLE MI 48111

Officer/Director/Trustee Three

JANICE LYKES
SECRETARY
6225 LERNER WAY
LANSING MI 48911

Officer/Director/Trustee Four

TYRONE VANCE
DIRECTOR
30985 POINTE OF WOODS DR
FARMINGTON HILLS MI 48224

Officer/Director/Trustee Five

FRED KIRKLAND JR
DIRECTOR
3800 FLYING GULCH DR APT 2
HOLT MI 48842

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 WILLIAM LYKES
Signature Title PRESIDENT
Signature Date 10/28/19

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