FORM 1023-EZ for IMPACTING OUR YOUTH INC

Field Data
EIN 82-1419442
Case Number EO-2020027-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACTING OUR YOUTH INC
Organization’s Mailing Address 3330 COBB PKWY SUITE 324-193
City ACWORTH
State GA
ZIP 30101
Accounting period End 12
Primary contact name RHONDA JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RHONDA JORDAN
CFO
3330 COBB PKWY SUITE 324-193
ACWORTH GA 30101

Officer/Director/Trustee Two

WALTER JORDAN
CEO
3330 COBB PKWY SUITE 324-193
ACWORTH GA 30101

Officer/Director/Trustee Three

RHONDA JORDAN
SECRETARY
3330 COBB PKWY SUITE 324-193
ACWORTH GA 30101

Organization’s website IMPACTINGOURYOUTH.ORG
Organization’s email INFO@IMPACTINGOURYOUTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 RHONDA JORDAN
Signature Title CFO
Signature Date 1/24/2020

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