FORM 1023-EZ for IMPACT INITIATIVE

Field Data
EIN 81-0914251
Case Number EO-2018012-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT INITIATIVE
Organization’s Mailing Address P O BOX 800266
City DALLAS
State TX
ZIP 75380
Accounting period End 12
Primary contact name DON GANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DON GANT
DIRECTOR/SECRETARY
P O BOX 800266
DALLAS TX 75380

Officer/Director/Trustee Two

KIMBERLY HOUSTON
DIRECTOR/VICE CHAIR/TREASURER
P O BOX 800266
DALLAS TX 75380

Officer/Director/Trustee Three

HORACE WILKINS
DIRECTOR/CHAIRMAN
P O BOX 800266
DALLAS TX 75380

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 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 DON GANT
Signature Title DIRECTOR/SECRETARY
Signature Date 1/10/18

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