FORM 1023-EZ for CHARGE AND CHANGE NONPROFIT

Field Data
EIN 84-2541406
Case Number EO-2019261-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARGE AND CHANGE NONPROFIT
Organization’s Mailing Address 5439 GOLDEN WILLOW DR
City FORT COLLINS
State CO
ZIP 80528-6396
Accounting period End 12
Primary contact name RAYMOND C CRIBAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND CRIBAR
EXECUTIVE DIRECTOR
5439 GOLDEN WILLOW DR
FORT COLLINS CO 80528-6396

Officer/Director/Trustee Two

DEBRA MCGUINTY
DIRECTOR
5439 GOLDEN WILLOW DR
FORT COLLINS CO 80528-6396

Officer/Director/Trustee Three

MADELINE MCGUINTY
DIRECTOR
5214-C EIGEL ST
HOUSTON TX 77007-3246

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAYMOND CRIBAR
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/16/19

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