FORM 1023-EZ for AMERI-CAUSE IMPACT FUND

Field Data
EIN 82-2700705
Case Number EO-2017270-000437
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERI-CAUSE IMPACT FUND
Organization’s Mailing Address 14951 DALLAS PARKWAY STE 200
City DALLAS
State TX
ZIP 75254
Accounting period End 12
Primary contact name CHRIS BURTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER BURTON
DIRECTOR
14951 DALLAS PARKWAY STE 200
DALLAS TX 75254

Officer/Director/Trustee Two

DUSTIN MILLER
DIRECTOR
14951 DALLAS PARKWAY STE 200
DALLAS TX 75254

Officer/Director/Trustee Three

BEN LANGE
DIRECTOR
14951 DALLAS PARKWAY STE 200
DALLAS TX 75254

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 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 Yes
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
Signature Title
Signature Date

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