FORM 1023-EZ for CHANGE AGENTS FOR BRAVE INC

Field Data
EIN 85-4287459
Case Number EO-2021100-000825
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGE AGENTS FOR BRAVE INC
Organization’s Mailing Address 161 SOUTH ELLIOTT PLACE - APT 12A
City BROOKLYN
State NY
ZIP 11217
Accounting period End 12
Primary contact name YVES ROBERT CALIZAIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KHARI EDWARDS
BOARD MEMBER
1288 CARROLL STREET
BROOKLYN NY 11213

Officer/Director/Trustee Two

NORBERT DAVIDSON
BOARD MEMBER
120 MALCOLM X BOULEVARD
BROOKLYN NY 11221

Officer/Director/Trustee Three

BRETT CARTER
BOARD MEMBER
262 SAINT MARKS AVENUE - 6F
BROOKLYN NY 11216

Officer/Director/Trustee Four

LEEVONE CHURCH
OFFICER
161 SOUTH ELLIOTT PLACE - SUITE 12A
BROOKLYN NY 11217

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2021
Organization Incorporation State NY
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: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LEEVONE CHURCH
Signature Title OFFICER
Signature Date 3/26/2021

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