FORM 1023-EZ for IMPACT AFRICA NETWORK INC

Field Data
EIN 83-2020331
Case Number EO-2019038-000836
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT AFRICA NETWORK INC
Organization’s Mailing Address 1887 HAMILTON AVE
City SAN JOSE
State CA
ZIP 95125
Accounting period End 12
Primary contact name AKEEM BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AKEEM BROWN
DIRECTOR
510 3RD STREET SUITE 104
OAKLAND CA 94612

Officer/Director/Trustee Two

MARK KARAKE
DIRECTOR
1887 HAMILTON AVE
SANJOSE CA 95125

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
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 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 AKEEM BROWN
Signature Title DIRECTOR
Signature Date 2/2/19

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