FORM 1023-EZ for EX-CHANGE FOUNDATION INC

Field Data
EIN 81-2632601
Case Number EO-2016161-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EX-CHANGE FOUNDATION INC
Organization’s Mailing Address 2378 ORY DR
City BRUSLY
State LA
ZIP 70719
Accounting period End 12
Primary contact name DEMOND LANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEXTER JACKSON
DIRECTOR
2378 ORY DR
BRUSLY LA 70719

Officer/Director/Trustee Two

MORGAN MILLER
SECRETARY
4155 ESSEN LANE APT 66
BATON ROUGE LA 70809

Officer/Director/Trustee Three

BRANDON GORDON
TREASURER
58561 JETSON AVE
PLAQUEMINE LA 70764

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
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 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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