FORM 1023-EZ for COMMUNITY ON CHANGE

Field Data
EIN 83-0527914
Case Number EO-2020170-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY ON CHANGE
Organization’s Mailing Address 3414 GRANBY STREET
City HOPEWELL
State VA
ZIP 23860
Accounting period End 12
Primary contact name EULALEE WONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAMIKA LEWIS
PRESIDENT
3414 GRANBY STREET
HOPEWELL VA 23860

Officer/Director/Trustee Two

RUTH JOHNSON
ADMINISTRATOR
3911 WILLIAMSBURG ROAD
HOPEWELL VA 23860

Officer/Director/Trustee Three

JOYCE PORTER
BOARD MEMBER
2406 LEE STREET
HOPEWELL VA 23860

Officer/Director/Trustee Four

BRENDA PELHAM
BOARD MEMBER
1816 STEWART AVENUE
HOPEWELL VA 23860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAMIKA LEWIS
Signature Title PRESIDENT
Signature Date 4/3/2020

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