| Field | Data |
|---|---|
| EIN | 83-3941065 |
| Case Number | EO-2019108-000140 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | IMPACT4LIFE INC |
| Organization’s Mailing Address | 6606 E 55TH PLACE |
| City | INDIANAPOLIS |
| State | IN |
| ZIP | 46226 |
| Accounting period End | 12 |
| Primary contact name | RANDOLPH GERMANY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
RANDOLPH GERMANY
PRESIDENT
6606 E 55TH PLACE
INDIANA IN 46226
PATRICIA GERMANY
BOARD MEMBER
6606 E 55TH PLACE
INDIANA IN 46226
CIARRA GERMANY
SECRETARY
6606 E 55TH PLACE
INDIANA IN 46226
MARY TURNER
VICE CHAIR
6606 E 55TH PLACE
INDIANA IN 46226
TERRI FALKER
TREASURER
6606 E 55TH PLACE
INDIANA IN 46226
| Organization’s website | |
|---|---|
| Organization’s email | RANDOLPHGERMANY@AOL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/12/19 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | RANDOLPH GERMANY |
| Signature Title | PRESIDENT |
| Signature Date | 4/16/19 |
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