FORM 1023-EZ for FIRST IMPACT

Field Data
EIN 82-4743112
Case Number EO-2018136-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRST IMPACT
Organization’s Mailing Address 6913 DA VINCI
City COLLEYVILLE
State TX
ZIP 76034-8261
Accounting period End 3
Primary contact name SHYAM MURALI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHYAM MURALI
PRESIDENT
6913 DA VINCI
COLLEYVILLE TX 76034-8261

Officer/Director/Trustee Two

BRUNO ARCE
VICE PRESIDENT
2601 BELLEFONTAINE ST - APT B211
HOUSTON TX 77025-1680

Officer/Director/Trustee Three

VRINDA GOEL
TREASURER
540 ROCKPORT DR
SUNNYVALE CA 94087-2413

Organization’s website WWW.FIRSTIMPACT.US
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/18
Organization Incorporation State TX
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: 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 SHYAM MURALI
Signature Title PRESIDENT
Signature Date 5/11/18

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