FORM 1023-EZ for I AM CHANGED INCORPORATED

Field Data
EIN 47-5077610
Case Number EO-2015286-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I AM CHANGED INCORPORATED
Organization’s Mailing Address 3 JERVEY AVE
City GREENVILLE
State SC
ZIP 29607
Accounting period End 12
Primary contact name DR KANDY MORRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY AKERS
PRESIDENT
3 JERVEY AVE
GREENVILLE SC 29607

Officer/Director/Trustee Two

DR KANDY MORRELL
TREASURER
726 SOUTH LINCOLN BLVD
MARION IN 46953

Officer/Director/Trustee Three

DARRELL BROWN
VICE PRESIDENT
201 RIVER WATCH DRIVE
GREENVILLE SC 29605

Officer/Director/Trustee Four

REGINALD CAMPBELL
DIRECTOR
104 HAMMETT POND CT
GREER SC 29650

Officer/Director/Trustee Five

MONICA AKERS
SECRETARY
200 FENWAY
GREENVILLE SC 29605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2005
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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