FORM 1023-EZ for LJS IMPACT FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 86-2380483 |
| Case Number | EO-2021166-000049 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LJS IMPACT FOUNDATION INC |
| Organization’s Mailing Address | 564 SW BUSWELL AVE |
| City | PORT SAINT LUCIE |
| State | FL |
| ZIP | 34983 |
| Accounting period End | 12 |
| Primary contact name | MARISSA MILES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARISSA MILES
PRESIDENT
564 SW BUSWELL AVE
PORT SAINT LUCIE FL 34983
Officer/Director/Trustee Two
LEONARD MILES III
VICE PRESIDENT
564 SW BUSWELL AVE
PORT SAINT LUCIE FL 34983
Officer/Director/Trustee Three
TIFFANY DIFRANCO
DIRECTOR OF FINANCE
1478 SE GRAPELAND AVE
PORT SAINT LUCIE FL 34952
Officer/Director/Trustee Four
ELIZABETH DANIELS
SECRETARY
513 W TROPIC WAY
SAINT AUGUSTINE FL 32080
Officer/Director/Trustee Five
ALBERTO J DIAZ JR
DIRECTOR OF OPERATIONS
11349 SW 74TH ST
MIAMI FL 33173
| Organization’s website | LJSIMPACT.COM |
|---|---|
| Organization’s email | CONNECT@LJSIMPACT.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/24/2021 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | MARISSA MILES |
| Signature Title | PRESIDENT |
| Signature Date | 6/11/2021 |
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