FORM 1023-EZ for ALL BLACK IMPACT FOUNDATION INC

Field Data
EIN 87-1063434
Case Number EO-2021161-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALL BLACK IMPACT FOUNDATION INC
Organization’s Mailing Address 4743 SISSON ROAD
City TITUSVILLE
State FL
ZIP 32780
Accounting period End 12
Primary contact name TARA GIBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA GIBSON
PRESIDENT
4743 SISSON ROAD
TITUSVILLE FL 32780

Officer/Director/Trustee Two

DESMAND WASHINGTON
VICE PRESIDENT
4743 SISSON ROAD
TITUSVILLE FL 32780

Officer/Director/Trustee Three

JESSICA GREEN
SECRETARY
4743 SISSON ROAD
TITUSVILLE FL 32780

Organization’s website
Organization’s email TARAGIBS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2021
Organization Incorporation State FL
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 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 TARA GIBSON
Signature Title PRESIDENT
Signature Date 6/8/2021

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