FORM 1023-EZ for BE THE CHANGE INC

Field Data
EIN 82-2126949
Case Number EO-2019086-000552
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BE THE CHANGE INC
Organization’s Mailing Address 57 PALM STREET NO 104
City NASHUA
State NH
ZIP 3060
Accounting period End 12
Primary contact name THOMAS LOPEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS LOPEZ
PRESIDENT
57 PALM ST NO 104
NASHUA NH 3060

Officer/Director/Trustee Two

KAILAH MILLEN
VICE PRESIDENT
24 KING STREET APT A
NASHUA NH 3060

Officer/Director/Trustee Three

SAMANTHA CASSISTA
CLERK
52 BACK RIVER ROAD
BEDFORD NH 3110

Officer/Director/Trustee Four

JOSEPH SYLVESTER
BOARD MEMBER
10 KINSMAN LANE
MERRIMACK NH 3054

Officer/Director/Trustee Five

DANIEL SWAIN
BOARD MEMBER
46 HAMPSHIRE DRIVE APT G
NASHUA NH 3063

Organization’s website WWW.INVOLVEDTOIMPACT.ORG
Organization’s email INVOLVEDTOIMPACT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/17
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q20 - Promotion of International Understanding
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Conducting Activities Outside of United States Yes
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 THOMAS LOPEZ
Signature Title PRESIDENT
Signature Date 3/25/19

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