FORM 1023-EZ for IMPACT CHEERLEADING ASSOCIATION

Field Data
EIN 81-2148486
Case Number EO-2016102-000385
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMPACT CHEERLEADING ASSOCIATION
Organization’s Mailing Address 1025 MERIWETHER STREET
City GRIFFIN
State GA
ZIP 30224
Accounting period End 4
Primary contact name BRITTANY BATTLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRITTANY BATTLE
PRESIDENT
1025 MERIWETHER STREET
GRIFFIN GA 30224

Officer/Director/Trustee Two

WILLEAH HAMM
VICE PRESIDENT
1024 HANNOVER CIRCLE
STOCKBRIDGE GA 30281

Officer/Director/Trustee Three

DINETRA MOORE
SECRETARY
1432 COWAN ROAD
GRIFFIN GA 30223

Officer/Director/Trustee Four

RHONDA WILSON
TREASURER
11069 HUNTERS LANE
HAMPTON GA 30228

Organization’s website IDCCCOMPANY.COM
Organization’s email IMPACTDANCECHEER@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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
Signature Title
Signature Date

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