FORM 1023-EZ for IMPACT DEVELOPMENT FOUNDATION INC

Field Data
EIN 83-1036328
Case Number EO-2018276-000001
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT DEVELOPMENT FOUNDATION INC
Organization’s Mailing Address 258 SUMMIT VIEW DRIVE
City MCDONOUGH
State GA
ZIP 30253
Accounting period End 12
Primary contact name JUANITA WOODSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUANITA WOODSON
PRESIDENT
258 SUMMIT VIEW DRIVE
MCDONOUGH GA 30253

Officer/Director/Trustee Two

ANTONIO EUBANKS
TREASURER
1890 CARISBROOK PLACE
DECATUR GA 30168

Officer/Director/Trustee Three

CONSONJA DAVIS
SECETARY
3379 FLAT SHOALS ROAD
DECATUR GA 30034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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 JUANITA WOODSON
Signature Title PRESIDENT
Signature Date 10/1/18

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