FORM 1023-EZ for CONSULTANTS FOR CHANGE FOUNDATION

Field Data
EIN 83-2321576
Case Number EO-2018302-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONSULTANTS FOR CHANGE FOUNDATION
Organization’s Mailing Address 565 WINTER BLUFF DRIVE
City FENTON
State MO
ZIP 63026
Accounting period End 12
Primary contact name JAMIE RALEIGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE RALEIGH
BOARD MEMBER
565 WINTER BLUFF DRIVE
FENTON MO 63026

Officer/Director/Trustee Two

SAMANTHA PORBECK
BOARD MEMBER
1114 ABERDOUR DR
CABOT AR 72023

Officer/Director/Trustee Three

KATIE KING
BOARD MEMBER
8937 HARDY ST
OVERLAND PARK KS 66212

Officer/Director/Trustee Four

SHELLEY LISKO
BOARD MEMBER
23018 ETHEL DR
MABELVALE AR 72103

Officer/Director/Trustee Five

MELISSA TOMLINSON
BOARD MEMBER
315 W HOLLY ST
LONOKE AR 72086

Organization’s website
Organization’s email CFCFOUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
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 SAMANTHA PORBECK
Signature Title BOARD MEMBER
Signature Date 10/25/18

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