FORM 1023-EZ for IMPACT COMMUNITY RESOURCES INC

Field Data
EIN 83-1654769
Case Number EO-2019056-000506
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT COMMUNITY RESOURCES INC
Organization’s Mailing Address 20 TRELAWNEY DRIVE
City COVINGTON
State GA
ZIP 30016
Accounting period End 12
Primary contact name HARRISON CAROLINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARRISON CAROLINA
PRESIDENT
20 TRELAWNEY DRIVE
COVINGTON GA 30016

Officer/Director/Trustee Two

ROOSEVELT HARRIS
TREASURER
226 LANDRY DRIVE
KINGS MOUNTAIN NC 28086

Officer/Director/Trustee Three

PAMELA BURNEY
SECRETARY
15213 WILLOW WOOD LANE
FONTANA CA 92336

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 HARRISON CAROLINA
Signature Title PRESIDENT
Signature Date 2/22/19

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