FORM 1023-EZ for CHANCE FOR A CHANGE

Field Data
EIN 82-0785893
Case Number EO-2017081-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHANCE FOR A CHANGE
Organization’s Mailing Address 340 WOODMERE CREEK LN
City BIRMINGHAM
State AL
ZIP 35226
Accounting period End 9
Primary contact name KRISTEN JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTEN JAMES
FOUNDER/ INCORPORATOR
340 WOODMERE CREEK LN
BIRMINGHAM AL 35226

Officer/Director/Trustee Two

JADESHALA HARRIS
DIRECTOR
106 BULL BAY DR
STATESBORO GA 30458

Officer/Director/Trustee Three

BRYAN JAMES
DIRECTOR
340 WOODMERE CREEK LN
BIRMINGHAM AL 35226

Officer/Director/Trustee Four

MARISSA TWYMON
DIRECTOR
119 ROUNDABOUT RD
TALLADEGA AL 35160

Officer/Director/Trustee Five

BRIANNA PURNELL
DIRECTOR
291 PLANTATION CENTRE DR N APT 810
MACON GA 31210

Organization’s website CFORCLIVING.WIX.COM/CHANGE
Organization’s email CFORCLIVING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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
Signature Title
Signature Date

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