FORM 1023-EZ for PROACTIVE CHANGE INC

Field Data
EIN 81-4870304
Case Number EO-2017131-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROACTIVE CHANGE INC
Organization’s Mailing Address 730 PEACHTREE STREET NE SUITE 570
City ATLANTA
State GA
ZIP 30308
Accounting period End 12
Primary contact name CRYSTAL STYLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTAL STYLES
PRESIDENT / CEO
730 PEACHTREE ST NE SUITE 570
ATLANTA GA 30308

Officer/Director/Trustee Two

RENEE WHALEY
VICE-PRES / CFO
730 PEACHTREE ST NE SUITE 570
ATLANTA GA 30308

Officer/Director/Trustee Three

KWAME TOWNES
TREASURER
730 PEACHTREE ST NE SUITE 570
ATLANTA GA 30308

Officer/Director/Trustee Four

SHANEKA JONES
SECRETARY
730 PEACHTREE ST NE SUITE 570
ATLANTA GA 30308

Officer/Director/Trustee Five

JERRY PAGE
DIRECTOR
730 PEACHTREE ST NE SUITE 570
ATLANTA GA 30308

Organization’s website N/A
Organization’s email PROACTIVECHANGE1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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