FORM 1023-EZ for BIG CHANGES START SMALL INC

Field Data
EIN 81-1854592
Case Number EO-2016088-000540
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BIG CHANGES START SMALL INC
Organization’s Mailing Address 10298 LEMMON AVE NW
City CONCORD
State NC
ZIP 28027
Accounting period End 12
Primary contact name JENNIFER COBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN GRIFFIN
CHAIR
10298 LEMMON AVE NW
CONCORD NC 28027

Officer/Director/Trustee Two

MARY LOVE
VICE CHAIR
1810 LUTHRAN SYNODE DR
SALISBURY NC 28144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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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