FORM 1023-EZ for IMPACT MINISTRY SYSTEMS INC

Field Data
EIN 85-1284402
Case Number EO-2020157-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT MINISTRY SYSTEMS INC
Organization’s Mailing Address 6708 PLANTATION PINES BLVD
City FORT MYERS
State FM
ZIP 33966
Accounting period End 12
Primary contact name DAN IVERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL IVERSON
PRESIDENT
6631 SAINT IVES CT
FORT MYERS FL 33966

Officer/Director/Trustee Two

KAREN IVERSON
TREASURER
6631 SAINT IVES CT
FORT MYERS FL 33966

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 DANIEL IVERSON
Signature Title PRESIDENT
Signature Date 6/3/2020

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