FORM 1023-EZ for ICAN IMPACT COMMUNITY ACTION NETWORK
| Field | Data |
|---|---|
| EIN | 87-1095755 |
| Case Number | EO-2021179-000178 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ICAN IMPACT COMMUNITY ACTION NETWORK |
| Organization’s Mailing Address | 3655 PRAIRIE WATERS DR APT 2102 |
| City | GRAND PRAIRIE |
| State | TX |
| ZIP | 75052 |
| Accounting period End | 12 |
| Primary contact name | RASBY G MASON III |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LASHONDA MASON
SECRETARY TREASURER
3655 PRAIRIE WATERS DR APT 2102
GRAND PRAIRIE TX 75052
Officer/Director/Trustee Two
LARRY LISTER
DIRECTOR
5660 SOUTH LAKESHORE DR APT204
SHREVEPORT LA 71119
Officer/Director/Trustee Three
FRANCESCA LISTER
PUBLIC RELATIONS
5660 SOUTH LAKESHORE DR APT 204
SHREVEPORT LA 71119
Officer/Director/Trustee Four
RECARDOZ WILSON
JUSTICE REFORM
304 EAST COLLEGE
SHREVEPORT LA 71101
Officer/Director/Trustee Five
RASBY MASON III
PRESIDENT
3655 PRAIRIE WATERS DR APT 2102
GRAND PRAIRIE TX 75052
| Organization’s website | |
|---|---|
| Organization’s email | RGMASON3000@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/11/2019 |
| Organization Incorporation State | LA |
| 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: Yes Scientific: No Literary: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | LASHONDA MASON |
| Signature Title | SECRETARY TREASURER |
| Signature Date | 6/24/2021 |
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