FORM 1023-EZ for LUPOFF IMPACT SCHOLARS INSTITUTE

Field Data
EIN 83-3421414
Case Number EO-2019093-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUPOFF IMPACT SCHOLARS INSTITUTE
Organization’s Mailing Address 195 MONTAGUE STREET 11TH FLOOR
City BROOKLYN
State NY
ZIP 11201
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER LUPOFF
DIRECTOR
195 MONTAGUE STREET 11TH FLOOR
BROOKLYN NY 11201

Officer/Director/Trustee Two

BAHIYAH ROBINSON
DIRECTOR
1188 MISSION STREET STE 1702
SAN FRANCISCO CA 94103

Officer/Director/Trustee Three

DAVID STEVENS
DIRECTOR
40 HARRISON STREET 23C
NEW YORK NY 10013

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/19
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 No
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 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 PETER LUPOFF
Signature Title DIRECTOR
Signature Date 4/1/19

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