FORM 1023-EZ for POSITIVE CHANGE EMPLOYMENT SERVICES

Field Data
EIN 47-2720633
Case Number EO-2021102-000660
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POSITIVE CHANGE EMPLOYMENT SERVICES
Organization’s Mailing Address 4001 WEST CAMELBACK ROAD
City PHOENIX
State AZ
ZIP 85019
Accounting period End 12
Primary contact name ROBERT BOWDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BOWDEN
PRESIDENT
4001 WEST CAMELBACK ROAD
PHOENIX AZ 85019

Officer/Director/Trustee Two

GHAZI MUUHHMAD
DIRECTOR
4001 WEST CAMELBACK ROAD SUITE A37
PHOENIX AZ 85019

Officer/Director/Trustee Three

KEVIN EPPS
DIRECTOR
4001 WEST CAMELBACK ROAD
PHOENIX AZ 85019

Officer/Director/Trustee Four

RUDY CORPUZ
TREASURE
4001 WEST CAMELBACK ROAD
PHOENIX AZ 85019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2015
Organization Incorporation State AZ
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT BOWDEN
Signature Title PRESIDENT
Signature Date 4/1/2021
EIN 47-2720633
Case Number EO-2015030-000514
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVE CHANGE EMPLOYMENT SERVICESINC
Organization’s Mailing Address 3032 16TH STREET SUITE 313
City SAN FRANCISCO
State CA
ZIP 94103-3403
Accounting period End 12
Primary contact name NATHAN F FAHRER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT BOWDEN
DIRECTOR-PRES-SECTY-TREAS
3032 16TH STREET SUITE 313
SAN FRANCISCO CA 94103-3403

Officer/Director/Trustee Two

MICHAEL BROWN
DIRECTOR
3032 16TH STREET SUITE 313
SAN FRANCISCO CA 94103-3403

Officer/Director/Trustee Three

RUDY CORPUZ
DIRECTOR
3032 16TH STREET SUITE 313
SAN FRANCISCO CA 94103-3403

Officer/Director/Trustee Four

KEVIN EPPS
DIRECTOR
3032 16TH STREET SUITE 313
SAN FRANCISCO CA 94103-3403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
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 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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