FORM 1023-EZ for CHANGING HEARTS AND MIND PROGRAM INC CHAMP
| Field | Data |
|---|---|
| EIN | 47-2299604 |
| Case Number | EO-2019063-000548 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHANGING HEARTS AND MIND PROGRAM INC CHAMP |
| Organization’s Mailing Address | 331 FOREST LAKE DR |
| City | SEABROOK |
| State | TX |
| ZIP | 77586 |
| Accounting period End | 12 |
| Primary contact name | SAM ALIX |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SAMUEL ALIX
CHAIRMAN/EXECUTIVE DIRECTOR
331 FOREST LAKE DR
SEABROOK TX 77586
Officer/Director/Trustee Two
KAYLA ALIX
PRESIDENT
331 FOREST LAKE DR
SEABROOK TX 77586
Officer/Director/Trustee Three
CLARENCE LANDRY
V. PRESIDENT
915 WEST PRIMROSE MEADOWS CIR
PEARLAND TX 77584
Officer/Director/Trustee Four
WALTER ALIX
SECRETARY
331 FOREST LAKE DR
SEABROOK TX 77586
Officer/Director/Trustee Five
SAMUEL ALIX JR
TREASURER
6710 VARIEL AVE APT 434
WOODLAND HILLS CA 91367
| Organization’s website | WWW.CHAMP.VET |
|---|---|
| Organization’s email | INFO@CHAMP.VET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/26/15 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W30 - Military, Veterans' Organizations |
| 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 | Yes |
| Donation of funds | Yes |
| 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 | Yes |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KAYLA ALIX |
| Signature Title | PRESIDENT |
| Signature Date | 3/2/19 |
| EIN | 47-2299604 |
| Case Number | EO-2017052-000089 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CHANGING HEARTS AND MIND PROGRAM INC C H A M P |
| Organization’s Mailing Address | 331 FOREST LAKE DRIVE |
| City | SEABROOK |
| State | TX |
| ZIP | 77586 |
| Accounting period End | 12 |
| Primary contact name | SAMUEL ALIX |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SAMUEL ALIX
CHAIRMAN/FOUNDER EXECUTIVE DIRECT
331 FOREST LAKE DRIVE
SEABROOK TX 77586
Officer/Director/Trustee Two
KAYLA ALIX
PRESIDENT
331 FOREST LAKE DRIVE
SEABROOK TX 77586
Officer/Director/Trustee Three
CLARENCE LANDRY JR
PRESIDENT
6502 GRANDVALE
HOUSTON TX 77072
Officer/Director/Trustee Four
WALTER ALIX
SECRETARY
331 FOREST LAKE DRIVE
SEABROOK TX 77586
Officer/Director/Trustee Five
SAMUEL ALIX JR
TREASURY
6710 VARIEL AVE APT 434
WOODLAND HILLS CA 91303
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/26/2015 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | Yes |
| 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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