FORM 1023-EZ for TEXAS IMPACT

Field Data
EIN 80-0792405
Case Number EO-2019102-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEXAS IMPACT
Organization’s Mailing Address 1301 E DEBBIE LANE 102168
City MANSFIELD
State TX
ZIP 76063
Accounting period End 12
Primary contact name CHARMION THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARMION THOMAS
DIRECTOR
7219 LIGHTHOUSE RD
ARLINGTON TX 76002

Officer/Director/Trustee Two

TERRY THOMAS
CHAIR
7219 LIGHTHOUSE RD
ARLINGTON TX 76002

Officer/Director/Trustee Three

TERRY THOMAS JR
COMMITTEE CHAIR
7219 LIGHTHOUSE RD
ARLINGTON TX 76002

Officer/Director/Trustee Four

RON ANDERSON
VICE CHAIR
105 RENFRO
ALVARADO TX 76002

Officer/Director/Trustee Five

JESSICA ANDERSON
SECRETARY
105 RENFRO
ALVARADO TX 76002

Organization’s website
Organization’s email CHAR_THOMAS1@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARMION THOMAS
Signature Title DIRECTOR
Signature Date 4/10/19

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