FORM 1023-EZ for IMPACTFUL OPPORTUNITIES WITH ATHLETES FOUNDATION

Field Data
EIN 83-2732624
Case Number EO-2021091-000796
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACTFUL OPPORTUNITIES WITH ATHLETES FOUNDATION
Organization’s Mailing Address 300 W PINE STREET
City MARENGO
State IA
ZIP 52301
Accounting period End 12
Primary contact name TRAVIS GORSCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS GORSCH
PRESIDENT
300 W PINE STREET
MARENGO IA 52301

Officer/Director/Trustee Two

KELSEY SAMPSON
SECRETARY
15679 600TH AVE
NEVADA IA 50201

Officer/Director/Trustee Three

CHRISTOPHER PEREZ
TREASURER
600 DANE CT
WILLIAMSBURG IA 52361

Officer/Director/Trustee Four

KELLY OROURKE
DIRECTOR
200 PAGE ST
WILLIAMSBURG IA 52361

Officer/Director/Trustee Five

MATT DEGNER
DIRECTOR
235 N WESTMISTER ST
IOWA CITY IA 52245

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2018
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 TRAVIS GORSCH
Signature Title PRESIDENT
Signature Date 2/23/2021

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