FORM 1023-EZ for CHANGE A LIFE WITH LANGUAGE LEARNING

Field Data
EIN 47-4126857
Case Number EO-2016090-000419
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHANGE A LIFE WITH LANGUAGE LEARNING
Organization’s Mailing Address 4125 LAKE FOREST CT
City ANN ARBOR
State MI
ZIP 48108
Accounting period End 8
Primary contact name CELESTE GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CELESTE GREEN
DIRECTOR
4125 LAKE FOREST CT
ANN ARBOR MI 48108

Officer/Director/Trustee Two

NICOLE HASKINS
SECRETARY
4435 TOUCHTON RD
JACKSONVILLE FL 33246

Officer/Director/Trustee Three

EILEEN ROSS
TREASURER
3082 DENCREST CT
SMYRNA GA 30080

Organization’s website WWW.SPANISHFORALLKIDS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - 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 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
Signature Title
Signature Date

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