FORM 1023-EZ for URBAN CHANGE FOR LIFE CENTER

Field Data
EIN 35-2427082
Case Number EO-2016090-000516
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name URBAN CHANGE FOR LIFE CENTER
Organization’s Mailing Address PO BOX 2283
City CEDAR HILL
State TX
ZIP 75106
Accounting period End 12
Primary contact name LORENZO PLATER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIE FRANKLIN
DIRECTOR
208 HOUSTON ST
CEDAR HILL TX 75104

Officer/Director/Trustee Two

MARSHALL FRANCES
DIRECTOR
3108 COCKRELL HILL
DALLAS TX 75236

Officer/Director/Trustee Three

JUVINA DAVIS
DIRECTOR
1219 HIDDEN VALLEY
DALLAS TX 75241

Officer/Director/Trustee Four

LORENZO PLATER
OFFICER
1306 CLINTON ST
GARLAND TX 75040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2012
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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