FORM 1023-EZ for CITIZENS CONNECTED FOR CHANGE

Field Data
EIN 83-3908755
Case Number EO-2019072-000571
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CITIZENS CONNECTED FOR CHANGE
Organization’s Mailing Address 15518 MARSHFIELD AVE
City HARVEY
State IL
ZIP 60426
Accounting period End 12
Primary contact name RONNIE L LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONNIE LEE
OFFICER
15518 MARSHFIELD AVE
HARVEY IL 60426

Officer/Director/Trustee Two

SHEKINAH LEE
DIRECTOR
15518
HARVEY IL 60426

Officer/Director/Trustee Three

SYLVIA TIDWELL
DIRECTOR
18612 MICHAEL DRV
HAZEL CREST IL 60429

Officer/Director/Trustee Four

LANEL GILBERT
DIRECTOR
15253 WABASH
SOUTH HOLLAND IL 60473

Organization’s website
Organization’s email LEEPULPITMAN@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 RONNIE LEE
Signature Title OFFICER
Signature Date 3/11/19

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