FORM 1023-EZ for CHANGE FOR THE COMMUNITY INC

Field Data
EIN 46-4140359
Case Number EO-2015344-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHANGE FOR THE COMMUNITY INC
Organization’s Mailing Address 1702 MOSCOW AVE
City HICKMAN
State KY
ZIP 42050
Accounting period End 12
Primary contact name MILTON DEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEENA ANDERSON
DIRECTOR
410 BERNAL AVE
HICKMAN KY 42050

Officer/Director/Trustee Two

KARLA ADAMS
DIRECTOR
3120 STATE ROUTE 1129 S
HICKMAN KY 42050

Officer/Director/Trustee Three

PHYLLIS BRYANT
DIRECTOR
1030 STEVE FIELDS DR
HICKMAN KY 42050

Officer/Director/Trustee Four

DONNA CAROL HOWELL
DIRECTOR
809 STATE ROUTE 781N
FULTON KY 42041

Officer/Director/Trustee Five

DEBBIE WEATHERFORD
DIRECTOR
5038 ST RT 58E
CLINTON KY 42031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2013
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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