FORM 1023-EZ for CHANGE 1 INC

Field Data
EIN 85-1282169
Case Number EO-2020181-000589
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGE 1 INC
Organization’s Mailing Address 15535 WOODWAY DR
City TAMPA
State FL
ZIP 33613
Accounting period End 12
Primary contact name AMBER WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY VILLA
DIRECTOR
15535 WOODWAY DR
TAMPA FL 33613

Officer/Director/Trustee Two

AMBER WRIGHT
DIRECTOR
15535 WOODWAY DR
TAMPA FL 33613

Officer/Director/Trustee Three

NOAH VILLA-WRIGHT
DIRECTOR
15535 WOODWAY DR
TAMPA FL 33613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 AMBER WRIGHT
Signature Title DIRECTOR
Signature Date 6/26/2020

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