FORM 1023-EZ for ACT TO CHANGE

Field Data
EIN 83-2287633
Case Number EO-2018313-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACT TO CHANGE
Organization’s Mailing Address PO BOX 23112
City WASHINGTON
State DC
ZIP 20026
Accounting period End 12
Primary contact name JILL YU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA LEE
MANAGING DIRECTOR
17 MEGANS COURT
OLNEY MD 20832

Officer/Director/Trustee Two

JILL YU
MANAGING DIRECTOR
1501 CRYSTAL DRIVE APT 535
ARLINGTON VA 22202

Officer/Director/Trustee Three

MAULIK PANCHOLY
CHAIR
85 LIVINGSTON STREET UNIT 14E
BROOKLYN NY 11201

Officer/Director/Trustee Four

MINDY SHIN
DIRECTOR
253 SOUTH BROADWAY UNIT 503
LOS ANGELES CA 90012

Officer/Director/Trustee Five

AMIT JANI
DIRECTOR
35 HOLLY STREET
JERSEY CITY NJ 7305

Organization’s website WWW.ACTTOCHANGE.ORG
Organization’s email INFO@ACTTOCHANGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 JILL YU
Signature Title MANAGING DIRECTOR
Signature Date 11/7/18

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