FORM 1023-EZ for IMPACT DELAWARE

Field Data
EIN 83-2708550
Case Number EO-2020083-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT DELAWARE
Organization’s Mailing Address 90 JILLIAN COURT
City DOVER
State DE
ZIP 19901
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY HAZZARD
PRESIDENT/DIRECTOR
114 NICOLES COURT
MILLSBORO DE 19966

Officer/Director/Trustee Two

ADEWUNMI KUFORIJI
TREASURER/DIRECTOR
41 WILDSWOOD RD
DOVER DE 19901

Officer/Director/Trustee Three

JULIUS MULLEN
SECRETARY/DIRECTOR
90 JILLIAN COURT
DOVER DE 19901

Officer/Director/Trustee Four

SANDI HAGANS-MORRIS
DIRECTOR
9173 HERRING BRANCH RD
LINCOLN DE 19960

Officer/Director/Trustee Five

MICHAEL BELL
DIRECTOR
809 WOLFE ST
LAUREL DE 19956

Organization’s website IMPACTLEADERSHIPDE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2018
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 Yes
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 JULIUS MULLEN
Signature Title SECRETARY/DIRECTOR
Signature Date 3/19/2020

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