FORM 1023-EZ for LASTING CHANGE INC

Field Data
EIN 86-1995653
Case Number EO-2021090-000615
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LASTING CHANGE INC
Organization’s Mailing Address 15 W 73RD ST APT 3
City NEW YORK
State NY
ZIP 10023
Accounting period End 12
Primary contact name MICHAEL GARDINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL GARDINER
CHIEF EXECUTIVE OFFICER
15 W 73RD ST
NEW YORK NY 10023

Officer/Director/Trustee Two

TYLER BITCHATCHI
CHIEF OPERATING OFFICER
15 W 73RD ST
NEW YORK NY 10023

Officer/Director/Trustee Three

BRAD GARDINER
ADVISER
4370 BERGSTROM RD
DOYLESTOWN PA 18902

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 MICHAEL GARDINER
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 2/17/2021

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