FORM 1023-EZ for IMPACT 100 MEN INC

Field Data
EIN 83-3951042
Case Number EO-2020141-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT 100 MEN INC
Organization’s Mailing Address 217 NE 4TH ST
City DELRAY BEACH
State FL
ZIP 33444
Accounting period End 12
Primary contact name JEFFREY FROMKNECHT ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EZRA KRIEG
CHAIRMAN
2984 NEEDHAM COURT
DELRAY BEACH FL 33445

Officer/Director/Trustee Two

FRANK MCCLUSKEY
SECRETARY
111 SOUTH CANNERY ROW CIRCLE
DELRAY BEACH FL 33444

Officer/Director/Trustee Three

CHARLES TUMAZOS
VICE CHAIRMAN
11627 ROCK LANE TERRACE
BOYNTON BEACH FL 33473

Officer/Director/Trustee Four

CHUCK HALBERG
BOARD OF DIRECTORS
120 NW 4 AVE
DELRAY BEACH FL 33444

Officer/Director/Trustee Five

TED HOSKINSON
BOARD OF DIRECTORS
513 SEASAGE DRIVE
DELRAY BEACH FL 33483

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 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 EZRA KRIEG
Signature Title CHAIRMAN
Signature Date 5/18/2020

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