FORM 1023-EZ for IMPACT LORAIN COUNTY INC

Field Data
EIN 84-5056805
Case Number EO-2020232-000067
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT LORAIN COUNTY INC
Organization’s Mailing Address 187 CENTRAL DR
City AMHERST
State OH
ZIP 44001
Accounting period End 12
Primary contact name CARRIE DOBOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE DOBOS
FOUNDER, EXECUTIVE DIRECTOR
187 CENTRAL DR
AMHERST OH 44001

Officer/Director/Trustee Two

MICHELLE TATE
BOARD TREASURER
155 SPRING ST
AMHERST OH 44001

Officer/Director/Trustee Three

COLLEEN WILSON
BOARD SECRETARY
165 PARK AVE
AMHERST OH 44001

Officer/Director/Trustee Four

GINA GORDON
BOARD MEMBER
615 STANFORD AVE
ELYRIA OH 44035

Organization’s website LETSMAKEANIMPACT.ORG
Organization’s email IMPACTLORAINCOUNTY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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 Yes
Disaster relief assistance Yes
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 CARRIE DOBOS
Signature Title FOUNDER, EXECUTIVE DIRECTOR
Signature Date 8/17/2020

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