FORM 1023-EZ for HOMEGROWN CHANGE

Field Data
EIN 81-1344791
Case Number EO-2016231-000423
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOMEGROWN CHANGE
Organization’s Mailing Address 64 AMITY STREET
City PATCHOGUE
State NY
ZIP 11772
Accounting period End 6
Primary contact name EVA RODRIGUEZ-GREGUSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN MARAFINO
PRESIDENT
48 DRAKE AVENUE
BELLPORT NY 11713

Officer/Director/Trustee Two

JASON NEAL
VICE PRESIDENT
723 DOANE AVENUE
BELLPORT NY 11713

Officer/Director/Trustee Three

SARAH SIMPSON-BAPTISTE
TREASURER
2208 TOWNHOUSE DRIVE
CORAM NY 11727

Officer/Director/Trustee Four

BRIAN SMITH
SECRETARY
51 PINE HILL ROAD
PORT JEFFERSON NY 11776

Organization’s website
Organization’s email HOMEGROWNCHANGE16@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C42 - Garden Club, Horticultural Program
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
Signature Title
Signature Date

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