FORM 1023-EZ for CHANGING LIVES TOGETHER INC

Field Data
EIN 46-1904640
Case Number EO-2014282-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHANGING LIVES TOGETHER INC
Organization’s Mailing Address 2115 EXECUTIVE DRIVE
City HAMPTON
State VA
ZIP 23666
Accounting period End 12
Primary contact name TIFFANY HASSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIFFANY HASSELL
EXECUTIVE DIRECTOR
6516 HARBOUR POINTE DRIVE
SUFFOLK VA 23435

Officer/Director/Trustee Two

CHANEL WRIGHT
INITIAL DIRECTOR
419 REVOLUTION LANE
NEWPORT NEWS VA 23608

Officer/Director/Trustee Three

JOYCE WOODS
INITIAL DIRECTOR
3414 W LEWIS ROAD
HAMPTON VA 23666

Officer/Director/Trustee Four

CYNTHIA POPE
INITIAL DIRECTOR
2504 CANDLELIGHT DRIVE
CHESAPEAKE VA 23325

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2013
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 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 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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