FORM 1023-EZ for IMPAKT FOUNDATION INCORPORATED

Field Data
EIN 85-0767186
Case Number EO-2020113-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPAKT FOUNDATION INCORPORATED
Organization’s Mailing Address 12511 IVY RUN LANE
City PEARLAND
State TX
ZIP 77584
Accounting period End 12
Primary contact name JACOB CEASAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB CEASAR
DIRECTOR
12511 IVY RUN LANE
PEARLAND TX 77584

Officer/Director/Trustee Two

JONATHAN GUICE
DIRECTOR
4611 COMET VIEW CT
HUMBLE TX 77396

Officer/Director/Trustee Three

CREIGHTON LARKIN
DIRECTOR
16203 MORNINGBROOK DRIVE
SPRING TX 77379

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T40 - Voluntarism Promotion
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 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 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 JACOB CEASAR
Signature Title DIRECTOR
Signature Date 4/20/2020

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