FORM 1023-EZ for CHANCE FOR CHANGE

Field Data
EIN 84-2904870
Case Number EO-2020051-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANCE FOR CHANGE
Organization’s Mailing Address 102 CARMEL DRIVE
City LAFAYETTE
State LA
ZIP 70501
Accounting period End 12
Primary contact name TABATHA BELLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TABATHA BELLARD
DIRECTOR
2803 RED CARDINAL LANE
MISSOURI LANE TX 77459

Officer/Director/Trustee Two

LARRY PHILLIPS
DIRECTOR
112 CUTACROSS ROAD
CARENCRO LA 70520

Officer/Director/Trustee Three

DEANNE DANIELS
DIRECTOR
11280 BRAES FOREST DRIVE
HOUSTON TX 77071

Officer/Director/Trustee Four

SAMATHA BELLARD
DIRECTOR
8727 SNYDER FARM LANE
RICHMOND TX 77469

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2019
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 TABATHA BELLARD
Signature Title DIRECTOR
Signature Date 2/18/2020

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