FORM 1023-EZ for LIFESTYLE CHANGE AND DEVELOPMENT BYRGG

Field Data
EIN 46-4244577
Case Number EO-2021100-000062
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFESTYLE CHANGE AND DEVELOPMENT BYRGG
Organization’s Mailing Address 107 MELODY CIRCLE
City CEDAR HILL
State TX
ZIP 75104
Accounting period End 5
Primary contact name RACHEL BURKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL BURKS
DIRECTOR
107 MELODY CIRCLE
CEDAR HILL TX 75104

Officer/Director/Trustee Two

SHARON JACKSON
BOARD MEMBER
1600 GRINNELL ST
DALLAS TX 75216

Officer/Director/Trustee Three

RODNEY TERRELL
BOARD MEMBER
1007 GALLOWAY
DALLAS TX 75216

Officer/Director/Trustee Four

IESHA CHEATUM
BOARD MEMBER
8918 ANGEL CREST DRIVE
DALLAS TX 75227

Officer/Director/Trustee Five

PAMELA DOMINGUEZ
BOARD MEMBER
2711 SAN MEDINA
DALLAS TX 75228

Organization’s website lifestyleanddevelopment.com
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RACHEL BURKS
Signature Title DIRECTOR
Signature Date 3/23/2021
EIN 46-4244577
Case Number EO-2014273-000011
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFESTYLE CHANGE DEVELOPMENT BY RGG
Organization’s Mailing Address 107 MELODY CIRCLE
City CEDAR HILL
State TX
ZIP 75104
Accounting period End 12
Primary contact name RACHEL BURKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHEL BURKS
PRESIDENT
107 MELODY CIRCLE
CEDAR HILL TX 75104

Officer/Director/Trustee Two

SHARON JACKSON
SECRETARY
1600 GRINNELL
DALLAS TX 75104

Officer/Director/Trustee Three

PAMELA DOMINGUEZ
DIRECTOR
2711 SAN MEDINA
DALLAS TX 75228

Officer/Director/Trustee Four

RODNEY TERRELL
DIRECTOR
1007 GALLOWAY STREET
DALLAS TX 75216

Officer/Director/Trustee Five

LATONYA KENNEDY
DIRECTOR
3028 CLIFF CREEK DRIVE
DALLAS TX 75233

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2013
Organization Incorporation State TX
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: 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 Yes
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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