FORM 1023-EZ for IMPACT SOUTHERN CALIFORNIA COMMINUTY DEVELOPMENT CORPORATION

Field Data
EIN 81-2773948
Case Number EO-2016285-000553
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMPACT SOUTHERN CALIFORNIA COMMINUTY DEVELOPMENT CORPORATION
Organization’s Mailing Address 7518 SOUTH VERMONT AVENUE
City LOS ANGELES
State CA
ZIP 90044
Accounting period End 12
Primary contact name JAMES ROUNDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIAN MADDEN
EXECUTIVE DIRECTOR
1434 GEORGIA STREET
TUSTIN CA 92780

Officer/Director/Trustee Two

EUGENE BRYANT
DIRECTOR
5572 BRADNA
LOS ANGELES CA 90043

Officer/Director/Trustee Three

AMBER HARRIS
DIRECTOR
8007 HANNUM AVENUE
CULVER CITY CA 90230

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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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