FORM 1023-EZ for FOUNDATION FOR INNOVATIVE CHANGE

Field Data
EIN 83-2227338
Case Number EO-2018347-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION FOR INNOVATIVE CHANGE
Organization’s Mailing Address 3749 FOSSIL TREE LANE
City KELLER
State TX
ZIP 76244
Accounting period End 12
Primary contact name STEVEN E KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE-JOY KARMORH
PRESIDENT
4463 TOLBUT ST
PHILADELPHIA PA 19136

Officer/Director/Trustee Two

STEVEN E KELLER
VICE PRESIDENT
3749 FOSSIL TREE LN
KELLER TX 76244

Officer/Director/Trustee Three

EMMANUEL G SAPOLUCIA
FINANCIAL SECRETARY
9206 APPIN CT
HOUSTON TX 77095

Officer/Director/Trustee Four

LIVINGSTONE K ENDEE
DIRECTOR
3625 PALISADE PARK DR
DULUTH GA 30096

Officer/Director/Trustee Five

ARCHIE A WILSON
DIRECTOR
8249 SPRUCE MEADOWS DRIVE
FORT WORTH TN 76244

Organization’s website HTTP://FICLIB.ORG/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 STEVEN E KELLER
Signature Title VICE PRESIDENT
Signature Date 12/10/18

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