FORM 1023-EZ for POZ IMPACT

Field Data
EIN 84-2087092
Case Number EO-2019169-000312
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POZ IMPACT
Organization’s Mailing Address 3022 GRAY STREET
City HOUSTON
State TX
ZIP 77004
Accounting period End 12
Primary contact name JOSH MICA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSH MICA
CEO
3022 GRAY STREET
HOUSTON TX 77004

Officer/Director/Trustee Two

ADAM RAMIREZ
DIRECTOR
3022 GRAY STREET
HOUSTON TX 77004

Officer/Director/Trustee Three

ANA MANTILLA
OFFICER
3022 GRAY STREET
HOUSTON TX 77004

Organization’s website
Organization’s email POZIMPACT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JOSH MICA
Signature Title CEO
Signature Date 6/13/19

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