FORM 1023-EZ for CREO CHANGEMAKERS

Field Data
EIN 47-2520723
Case Number EO-2014349-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREO CHANGEMAKERS
Organization’s Mailing Address 12252 HERBERT STREET
City LOS ANGELES
State CA
ZIP 90066
Accounting period End 12
Primary contact name AMY SHIMSHON-SANTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMY SHIMSHON-SANTO
CHIEF EXECUTIVE OFFICER
12252 HERBERT STREET
LOS ANGELES CA 90066

Officer/Director/Trustee Two

MICHELLE TALLEY
CHIEF SOCIAL WELFARE OFFICER
3916 6TH AVENUE
LOS ANGELES CA 90008

Officer/Director/Trustee Three

KISHA LAWSON ELDER
CHIEF HEALTH OFFICER
1920 6TH STREET
SANTA MONICA CA 90042

Officer/Director/Trustee Four

ANDREA RODRIQUEZ
DIRECTOR OF MEDIA COMMUNICATIONS
5135 MIRIAM STREET
LOS ANGELES CA 90042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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