FORM 1023-EZ for 4-EMPACT

Field Data
EIN 82-2969886
Case Number EO-2017293-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 4-EMPACT
Organization’s Mailing Address 9 SAN JUAN CIR
City SALINAS
State CA
ZIP 93901
Accounting period End 12
Primary contact name LORISA MCKELVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORISA MCKELVEY
PRESIDENT
PO BOX 1567
SALINAS CA 93902

Officer/Director/Trustee Two

SELWYN DAYE
TREASURER
9 SAN JUAN CIR
SALINAS CA 93901

Officer/Director/Trustee Three

ERIN SMITH
SECRETARY
843 VIA MARIA
SALINAS CA 93901

Organization’s website 4-EMPACT.ORG
Organization’s email LORISA@MAD-ABOUT-EVENTS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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