FORM 1023-EZ for IMPACT LA
| Field | Data |
|---|---|
| EIN | 84-3797925 |
| Case Number | EO-2019336-000136 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | IMPACT LA |
| Organization’s Mailing Address | 7190 SUNSET BLVD SUITE 525 |
| City | LOS ANGELES |
| State | CA |
| ZIP | 90046 |
| Accounting period End | 12 |
| Primary contact name | COURTNEY LOCKRIDGE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
EMERITA FLORES
CHIEF EXECUTIVE OFFICER
6700 WILCOX APT D
BELL CA 90201
Officer/Director/Trustee Two
COURTNEY LOCKRIDGE
CHIEF FINANCIAL OFFICER
7190 SUNSET BLVD SUITE 525
LOS ANGELES CA 90046
Officer/Director/Trustee Three
DOREEN PETERS
SECRETARY
39217 BOTTICELLI DRIVE
PALMDALE CA 93551
| Organization’s website | WWW.IMPACTLA.ORG |
|---|---|
| Organization’s email | CONNECT@IMPACTLA.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/22/19 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B80 - Student Services, Organizations of Students |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes 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 | 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 | COURTNEY LOCKRIDGE |
| Signature Title | CHIEF FINANCIAL OFFICER |
| Signature Date | 11/27/19 |
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