FORM 1023-EZ for CONNECT 2 BE THE CHANGE LTD

Field Data
EIN 85-0706967
Case Number EO-2021099-001753
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONNECT 2 BE THE CHANGE LTD
Organization’s Mailing Address PO BOX 6905
City SOUTH BEND
State IN
ZIP 46660
Accounting period End 6
Primary contact name TAKISHA JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORIA PEREZ
PRESIDENT
823 E FOURTH ST
MISHAWAKA IN 46544

Officer/Director/Trustee Two

TAKISHA JACOBS
VICE PRESIDENT / DIRECTOR
1217 E BOWMAN ST
SOUTH BEND IN 46613

Officer/Director/Trustee Three

DENISE HERRON
SECRETARY
3930 E THIRD ST
MISHAWAKA IN 46544

Officer/Director/Trustee Four

HEATHER HOLLEMAN
BOARD OFFICER
18340 ROOSEVELT RD
SOUTH BEND IN 46614

Officer/Director/Trustee Five

CRYSTAL WHITLOW
BOARD OFFICER
222 S FRANCES ST
SOUTH BEND IN 46617

Organization’s website connect2bethechange.org
Organization’s email connect2bethechange@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAKISHA JACOBS
Signature Title VICE PRESIDENT / DIRECTOR
Signature Date 3/22/2021

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