FORM 1023-EZ for IMPACT CITY FC

Field Data
EIN 84-3033502
Case Number EO-2019301-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT CITY FC
Organization’s Mailing Address 6308 HIGHWAY N
City SAINT CHARLES
State MO
ZIP 63304
Accounting period End 12
Primary contact name AARON DELOACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON DELOACH
PRESIDENT
8130 WESTHILL DR
CHAGRIN FALLS OH 44023

Officer/Director/Trustee Two

JIM GARVIN
TRESURER
9386 CADDYSHACK CIRCLE
SAINT LOUIS MO 63127

Officer/Director/Trustee Three

CARA STINEBAKER
SECRETARY
212 ANDREA LYNNE DRIVE
WENTZVILLE MO 63385

Organization’s website IMPACTCITYFC.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 AARON DELOACH
Signature Title PRESIDENT
Signature Date 10/24/19

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