FORM 1023-EZ for CHANGE TAKES COURAGE

Field Data
EIN 83-0701811
Case Number EO-2018157-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGE TAKES COURAGE
Organization’s Mailing Address PO BOX 11696
City PORTLAND
State OR
ZIP 97211-696
Accounting period End 2
Primary contact name EMMA BRENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANA NESUKH
PRESIDENT
PO BOX 11696
PORTLAND OR 97211-696

Officer/Director/Trustee Two

NICOLAY LAMEIJER
TREASURER
PO BOX 11696
PORTLAND OR 97211-696

Officer/Director/Trustee Three

EMMA BRENT
SECRETARY
PO BOX 11696
PORTLAND OR 97211-696

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
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 EMMA BRENT
Signature Title SECRETARY
Signature Date 6/4/18

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