FORM 1023-EZ for PARENT IMPACT A NJ NONPROFIT CORPORATION

Field Data
EIN 82-3067306
Case Number EO-2020199-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARENT IMPACT A NJ NONPROFIT CORPORATION
Organization’s Mailing Address PO BOX 7185
City NEWARK
State NJ
ZIP 07107-0185
Accounting period End 12
Primary contact name JAMILAH MUHAMMAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMILAH MUHAMMAD
CHIEF EXECUTIVE OFFICER
14 MARSHALL STREET 10K
IRVINGTON NJ 07111-8634

Officer/Director/Trustee Two

TAFSHIER COSBY
EXECUTIVE DIRECTOR EXTERNAL AFFAIRS
601 SOUTH 12TH STREET
NEWARK NJ 07103-1817

Officer/Director/Trustee Three

SHAYVONNE ANDERSON
TRUSTEE
175 NORFOLK STREET 2B
NEWARK NJ 07103-3127

Organization’s website WWW.PARENTIMPACT.ORG
Organization’s email EMAIL@PARENTIMPACT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2018
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 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 JAMILAH MUHAMMAD
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 7/15/2020

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