FORM 1023-EZ for CONNECT FOR CHANGE

Field Data
EIN 20-5731596
Case Number EO-2015183-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONNECT FOR CHANGE
Organization’s Mailing Address 1001 SPRING STREET STE 1110
City SILVER SPRING
State MD
ZIP 20910
Accounting period End 12
Primary contact name EUNICE BRUCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIM SMYTHE
TREASURER
P O BOX 503
RUTHER GLEN VA 22546

Officer/Director/Trustee Two

CATE LANE
CHAIR
6309 TONE DRIVE
BETHESDA MD 20817

Officer/Director/Trustee Three

HOLLI SWANN
VICE CHAIR
705 BAYFIELD STREET
TAKOMA PARK MD 20910

Officer/Director/Trustee Four

EUNICE BRUCE
DIRECTOR
1001 SPRING STREET STE 1110
SILVER SPRING MD 20910

Organization’s website CONNECT4CHANGE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2006
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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