FORM 1023-EZ for CHANGING STATS INC

Field Data
EIN 46-4504220
Case Number EO-2014281-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHANGING STATS INC
Organization’s Mailing Address 449 LYNHURST DRIVE
City FAYETTEVILLE
State NC
ZIP 28314
Accounting period End 12
Primary contact name LISA FRAGAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRYAN FRAGAS
PRESIDENT
449 LYNHURST DRIVE
FAYETTEVILLE NC 28314

Officer/Director/Trustee Two

ASHLEY MASON
SECRETARY/TREASURER
6427 CLIFFDALE ROAD
FAYETTEVILLE NC 28314

Officer/Director/Trustee Three

BROOKE MEDINA
VICE PRESIDENT
444 GOLDEN HARVEST LOOP
CARY NC 27519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
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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