FORM 1023-EZ for ST LOUIS IMPACT

Field Data
EIN 30-1006581
Case Number EO-2018079-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST LOUIS IMPACT
Organization’s Mailing Address 120 SOUTH CENTRAL AVENUE SUITE 130
City ST LOUIS
State MO
ZIP 63105-1799
Accounting period End 10
Primary contact name MATT FRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT FRY
OFFICERS
120 S CENTRAL AVE STE 130
ST LOUIS MO 63105-1799

Officer/Director/Trustee Two

KYLE BRANNAM
OFFICER
120 S CENTRAL AVE
ST LOUIS MO 63105-1799

Officer/Director/Trustee Three

SHERON RIVES
OFFICER
120 S CENTRAL AVE
ST LOUIS MO 63105-1799

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/17
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 MATT FRY
Signature Title OFFICERS
Signature Date 3/18/18

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