FORM 1023-EZ for IMPACT HOSPITALITY CENTER

Field Data
EIN 85-3320471
Case Number EO-2021035-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT HOSPITALITY CENTER
Organization’s Mailing Address 1342 W 114TH ST APT 9
City CLEVELAND
State OH
ZIP 44102-1346
Accounting period End 10
Primary contact name HAZEL WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOYCE ROBINSON
PRESIDENT
1491 E 191ST ST
EUCLID OH 44117-1328

Officer/Director/Trustee Two

RHONDALYNN WEBB
VICE PRESIDENT
14530 CLIFTON BLVD APT 104
LAKEWOOD OH 44107-2610

Officer/Director/Trustee Three

SIMONA WILLIAMS
SECRETARY
2187 W 95TH ST
CLEVELAND OH 44102-3759

Officer/Director/Trustee Four

HAZEL WILLIAMS
DIRECTOR
1342 W 114TH ST APT 9
CLEVELAND OH 44102-1346

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 No
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 HAZEL WILLIAMS
Signature Title DIRECTOR
Signature Date 12/20/2020

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