FORM 1023-EZ for IMPACT
| Field | Data |
|---|---|
| EIN | 84-4716499 |
| Case Number | EO-2020098-000197 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | IMPACT |
| Organization’s Mailing Address | 219 E RUSHOLME ST |
| City | DAVENPORT |
| State | IA |
| ZIP | 52803-2932 |
| Accounting period End | 12 |
| Primary contact name | MARY-KATHRYN HART |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMES ORR
CHIEF STRATEGIST
4721 WISCONSIN AVE
DAVENPORT IA 52806
Officer/Director/Trustee Two
ANDREW ISAAC
CHIEF OPERATING OFFICER
56 JOHNNY CAKE TRAIL
SOUTH KINGSTONG RI 02879
Officer/Director/Trustee Three
MELISSA ROBEL
HUMAN RIGHTS OFFICER
509 BELAIR AVE
MERRITT ISLAND FL 32953
Officer/Director/Trustee Four
MIKE SHINBORI
IT
1212 WEST THIRD STREET
DAVENPORT IA 52804
Officer/Director/Trustee Five
MARY-KATHRYN HART
CEO
219 E RUSHOLME ST
DAVENPORT IA 52803
| Organization’s website | IMPACT-NGO.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/24/2020 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K99 - Food, Agriculture, and Nutrition 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 | MARY-KATHRYN HART |
| Signature Title | CEO |
| Signature Date | 4/3/2020 |
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