FORM 1023-EZ for CHANGING MINDS ONE AT A TIME FOUNDATION

Field Data
EIN 47-2156195
Case Number EO-2015022-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHANGING MINDS ONE AT A TIME FOUNDATION
Organization’s Mailing Address PO BOX 7874
City VISALIA
State CA
ZIP 93290-7874
Accounting period End 12
Primary contact name MIKE ALVAREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE ALVAREZ
PRESIDENT
PO BOX 7874
VISALIA CA 93290-7874

Officer/Director/Trustee Two

ALEX MARROQUIN
SECRETARY
12918 AVE 417
OROSI CA 93647-2035

Officer/Director/Trustee Three

ARTHUR PENA
DIRECTOR
12094 AVE 408
CUTLER CA 93615-2055

Officer/Director/Trustee Four

RIGO AGUIRRE
DIRECTOR
9610 W NICHOLAS
VISALIA CA 93291-9598

Organization’s website
Organization’s email CHANGINGMINDS0@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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