FORM 1023-EZ for YOGA4CHANGE INCORPORATED

Field Data
EIN 47-1037229
Case Number EO-2017121-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOGA4CHANGE INCORPORATED
Organization’s Mailing Address 96 CURTIS STREET
City MERIDEN
State CT
ZIP 06450
Accounting period End 6
Primary contact name CHAUCEY PERREAULT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAUCEY PERREAULT
PRESIDENT EXECUTIVE DIRECTOR
96 CURTIS STREET
MERIDEN CT 06450

Officer/Director/Trustee Two

DAVID RADCLIFFE
VICE PRESIDENT
96 CURTIS STREET
MERIDEN CT 06450

Officer/Director/Trustee Three

LYNN VASQUEZ
TREASURER
153 ROWLEY STREET
NEWINGTON CT 06111

Officer/Director/Trustee Four

SARA VEGA
SECRETARY
188 WESTVIEW DRIVE
MERIDEN CT 06450

Officer/Director/Trustee Five

AMY LOREE
DIRECTOR
195 NICOLL STREET
NEW HAVEN CT 06511

Organization’s website WWW.YOGA4CHANGE.ORG
Organization’s email CHAUCEY@YOGA4CHANGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2014
Organization Incorporation State CT
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: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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