FORM 1023-EZ for COMMUNITY CONNECTIONS FOR CHANGE

Field Data
EIN 84-4825703
Case Number EO-2020224-000817
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY CONNECTIONS FOR CHANGE
Organization’s Mailing Address PO BOX 709376
City SANDY
State UT
ZIP 84070-9376
Accounting period End 12
Primary contact name JAGANNADHA RAJU PUSAPATI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VENKATA PERLA
DIRECTOR
7400 S STATE STREET APT 4208
MIDVALE UT 84047

Officer/Director/Trustee Two

VENKATA ANANTHAVARAM
DIRECTOR
5416 S RED CLIFF DR APT-E
SALT LAKE CITY UT 84123

Officer/Director/Trustee Three

NAREN DHANDA
DIRECTOR
5461 S RED CLIFF DR APT-E
SALT LAKE CITY UT 84123

Officer/Director/Trustee Four

SNEHA PUSAPATI
DIRECTOR
746 W JORDAN OAKS DRIVE
SANDY UT 84070

Officer/Director/Trustee Five

JAGANNADHA PUSAPATI
DIRECTOR
746 W JORDAN OAKS DRIVE
SANDY UT 84070

Organization’s website WWW.COMMCONN4C.ORG
Organization’s email COMMCONN4C@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 JAGANNADHA PUSAPATI
Signature Title DIRECTOR
Signature Date 8/9/2020

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