FORM 1023-EZ for NATIONAL INNOVATION AND TECHNOLOGYNETWORK

Field Data
EIN 85-1584772
Case Number EO-2020224-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL INNOVATION AND TECHNOLOGYNETWORK
Organization’s Mailing Address 4695 SPENCER LAKE DRIVE
City CONWAY
State AR
ZIP 72034
Accounting period End 12
Primary contact name BLAKE LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEOFFREY M CAZES
PRESIDENT
5695 SPENCER LAKE DRIVE
CONWAY AR 72034

Officer/Director/Trustee Two

JO CAZES
SECRETARY
4124 LAKEWAY CIRCLE
BENTON AR 71006

Officer/Director/Trustee Three

GEOFFREY S CAZES
TREASURER
4124 LAKEWAY CIRCLE
BENTON AR 71006

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2020
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 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 GEOFFREY M CAZES
Signature Title PRESIDENT
Signature Date 8/6/2020

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