FORM 1023-EZ for FOUNDATION FOR SOCIAL IMPACT
| Field | Data |
|---|---|
| EIN | 84-2199689 |
| Case Number | EO-2019242-000113 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FOUNDATION FOR SOCIAL IMPACT |
| Organization’s Mailing Address | PO BOX 165657 |
| City | LITTLE ROCK |
| State | AR |
| ZIP | 72216 |
| Accounting period End | 12 |
| Primary contact name | TRISTAN WILKERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TRISTAN WILKERSON
DIRECTOR, CHAIR OF THE BOARD
PO BOX 92537
WASHINGTON DC 20090
Officer/Director/Trustee Two
TRAJHAN WILKERSON
DIRECTOR
4612 SUGAR MAPLE LANE
LITTLE ROCK AR 72212
Officer/Director/Trustee Three
SHARNIA MCCONNELL
DIRECTOR, SECRETARY OF THE BOARD
2511 SOUTH CHESTER STREET
LITTLE ROCK AR 72206
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/29/19 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | TRISTAN WILKERSON |
| Signature Title | DIRECTOR, CHAIR OF THE BOARD |
| Signature Date | 8/28/19 |
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