FORM 1023-EZ for FORWARD PASS FOUNDATION INC

Field Data
EIN 85-0835046
Case Number EO-2020132-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORWARD PASS FOUNDATION INC
Organization’s Mailing Address 8640 UNIVERSITY CITY BLVD STE P184
City CHARLOTTE
State NC
ZIP 28213
Accounting period End 12
Primary contact name DOMINIQUE D HOUNTONDJI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON HARVEY
PRESIDENT
6012 BAYFIELD PKWY STE 28
CONCORD NC 28027

Officer/Director/Trustee Two

DOMINIQUE D HOUNTONDJI
SECRETARY
8640 UNIVERSITY CITY BLVD STE P184
CHARLOTTE NC 28213

Officer/Director/Trustee Three

ARUN KUMAR PRAKASH
TREASURER
9789 CHARLOTTE HWY STE 400-275
FORT MILL SC 29707

Officer/Director/Trustee Four

TAUFEEQ KAZAM MOHAMMED
BOARD MEMBER
14311 REESE BLVD STE A2-365
HUNTERSVILLE SC 28078

Officer/Director/Trustee Five

ANOOP GOVINDANKUTTY
BOARD MEMBER
1533 ELLIS ROAD APT 1-203
DURHAM NC 27703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2020
Organization Incorporation State NC
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 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 DOMINIQUE D HOUNTONDJI
Signature Title SECRETARY
Signature Date 5/8/2020

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