FORM 1023-EZ for IMPACT SYSTEMS BUIDLERS CORPORATION

Field Data
EIN 83-1378715
Case Number EO-2018288-000664
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT SYSTEMS BUIDLERS CORPORATION
Organization’s Mailing Address 700 EAST BIRCH STREET 10072
City BREA
State CA
ZIP 92822
Accounting period End 6
Primary contact name DUANE ROHRBACHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUANE ROHRBACHER
CHIEF EXECUTIVE OFFICER
4635 ALDER AVENUE
YORBA LINDA CA 92886

Officer/Director/Trustee Two

CHRIS STITES
SECRETARY
2301 S MO PAC EXPY 625
AUSTIN TX 78746

Officer/Director/Trustee Three

HEATHER SAMUDIO
CHIEF FINANCIAL OFFICER
9830 W TROPICANA AVE 317
LAS VEGAS NV 89147

Organization’s website WWW.IMPACTSYSTEMS.BUILDERS
Organization’s email ME@DUANEROHRBACHER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S50 - Nonprofit Management
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DUANE ROHRBACHER
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 10/13/18

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