FORM 1023-EZ for SURVIVING CHANGE
| Field | Data |
|---|---|
| EIN | 74-3247643 |
| Case Number | EO-2021096-001301 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SURVIVING CHANGE |
| Organization’s Mailing Address | PO BOX 2912 |
| City | BREMERTON |
| State | WA |
| ZIP | 98310-0374 |
| Accounting period End | 6 |
| Primary contact name | DEBORAH MOORE JACKSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DEBORAH JACKSON
PRESIDENT
PO BOX 2912
BREMERTON WA 98310-0374
Officer/Director/Trustee Two
ANTOINETTE JACKSON-ADAMS
VICE PRESIDENT
PO BOX 2912
BREMERTON WA 98310-0374
Officer/Director/Trustee Three
MILDRED DAVIS
TREASURER
PO BOX 2912
BREMERTON WA 98310-0374
Officer/Director/Trustee Four
HELEN RENA BROWN
SECRETARY
PO BOX 2912
BREMERTON WA 98310-0374
Officer/Director/Trustee Five
ANTWON JACKSON
CHAIRMAN
PO BOX 2912
BREMERTON WA 98310-0374
| Organization’s website | N/A |
|---|---|
| Organization’s email | DEBRAHPASSION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/25/2007 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B80 - Student Services, Organizations of Students |
| 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 | 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | DEBORAH JACKSON |
| Signature Title | PRESIDENT |
| Signature Date | 3/9/2021 |
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