FORM 1023-EZ for CHANGE MY DESTINY INC

Field Data
EIN 84-4846590
Case Number EO-2021104-000583
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGE MY DESTINY INC
Organization’s Mailing Address 3239 BELAIR RD
City BALTIMORE
State MD
ZIP 21213
Accounting period End 7
Primary contact name NICHELLE HENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHELLE HENSON
PRESIDENT
3239 BELAIR RD
BALTIMORE MD 21213

Officer/Director/Trustee Two

PAUL KNIGHT
VICE PRESIDENT
3239 BELAIR RD
BALTIMORE MD 21213

Officer/Director/Trustee Three

KAYLIN LEMON
SECRETARY
3239 BELAIR RD
BALTIMORE MD 21213

Officer/Director/Trustee Four

KHALIL HARRIS
TRESURER
3239 BELAIR RD
BALTIMORE MD 21213

Organization’s website
Organization’s email CHANGEMYDESTINY2020@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O53 - Youth Development - Business
Organization’s purpose Charitable: Yes
Religious: No
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 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 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 NICHELLE HENSON
Signature Title PRESIDENT
Signature Date 4/9/2021

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