FORM 1023-EZ for SOCIAL IMPACT FOUNDATION INC

Field Data
EIN 84-3611868
Case Number EO-2019312-000271
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOCIAL IMPACT FOUNDATION INC
Organization’s Mailing Address 1375 SOUTH ALCOTT
City DENVER
State CO
ZIP 80219
Accounting period End 12
Primary contact name JERRY BLACKWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY BLACKWELL
PRESIDENT
F
AURORA CO 78701

Officer/Director/Trustee Two

RUTH ANN LARAMIE
SECRETARY
1375 SOUTH ALCOTT
DENVER CO 80219

Organization’s website WWW.SOCIALIMPACTFOUNDATION.ORG
Organization’s email JD@SOCIALIMPACTFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R02 - Management & Technical Assistance
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 Yes
Donation of funds Yes
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 Yes
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 JERRY BLACKWELL
Signature Title PRESIDENT
Signature Date 11/6/19

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