FORM 1023-EZ for SOCIAL INNOVATION AND IMPACT INSTITUTE SI3

Field Data
EIN 86-2596359
Case Number EO-2021197-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOCIAL INNOVATION AND IMPACT INSTITUTE SI3
Organization’s Mailing Address 1317 ORREN ST NE APT 4
City WASHINGTON
State DC
ZIP 20002
Accounting period End 12
Primary contact name TIGIST MELESSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIGIST MELESSE
CEO
1818 H ST NW
WASHINGTON DC 20433

Officer/Director/Trustee Two

ADDISU LASHITEW
SECRETARY
1775 MASSACHUSETTS AVE NW
WASHINGTON DC 20036

Organization’s website WWW.SI3IMPACT.ORG
Organization’s email INFO@SI3IMPACT.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2021
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O05 - Research Institutes and/or Public Policy Analysis
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
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 TIGIST MELESSE
Signature Title CEO
Signature Date 7/14/2021

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