FORM 1023-EZ for CARIBBEAN IMPACT ALLIANCE INC

Field Data
EIN 84-2535741
Case Number EO-2019217-000419
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARIBBEAN IMPACT ALLIANCE INC
Organization’s Mailing Address 15302 GLASTONBURY WAY
City UPPER MARLBORO
State MD
ZIP 20774
Accounting period End 12
Primary contact name ANDREW FACEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW FACEY
PRESIDENT, DIRECTOR
15302 GLASTONBURY WAY
UPPER MARLBORO MD 20774

Officer/Director/Trustee Two

YASMIN FACEY
SECRETARY, DIRECTOR
15302 GLASTONBURY WAY
UPPER MARLBORO MD 20774

Officer/Director/Trustee Three

LEA FACEY
TREASURER, DIRECTOR
15302 GLASTONBURY WAY
UPPER MARLBORO MD 20774

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 ANDREW FACEY
Signature Title PRESIDENT, DIRECTOR
Signature Date 8/2/19

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