FORM 1023-EZ for SUDDEN IMPACT

Field Data
EIN 36-4974721
Case Number EO-2021082-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUDDEN IMPACT
Organization’s Mailing Address 12428 EUCALYPTUS
City HAWTHORNE
State CA
ZIP 90250
Accounting period End 12
Primary contact name MELVYN E MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELVYN MILLER
FOUNDER
12428 EUCALYPTUS
HAWTHORNE CA 90250

Officer/Director/Trustee Two

JOSEPH EURE
FOUNDER
2638 28TH SUITE 3
SANTA MONICA CA 90405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A33 - Printing, Publishing
Organization’s purpose Charitable: No
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELVYN MILLER
Signature Title FOUNDER
Signature Date 1/29/2021

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