FORM 1023-EZ for IMPACT COUNSELING INC

Field Data
EIN 84-3520893
Case Number EO-2019304-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT COUNSELING INC
Organization’s Mailing Address 701 MONTGOMERY HWY SUITE 202
City BIRMINGHAM
State AL
ZIP 35216
Accounting period End 12
Primary contact name GEORGE CASEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE CASEY
DIRECTOR
2611 ALTARIDGE DR
BIRMINGHAM AL

Officer/Director/Trustee Two

LAURA BRITTIN
DIRECTOR
300 GREAT VIEW CIRCLE
HOOVER AL 35226

Officer/Director/Trustee Three

MAEGAN ELLIOT
DIRECTOR
2302 LITTLE VALLEY ROAD
HOOVER AL 35216

Officer/Director/Trustee Four

JOHN LUTHER
DIRECTOR
2650 WESTOVER ROAD
WESTOVER AL 35147

Officer/Director/Trustee Five

FRASER CASEY
DIRECTOR
4991 SCENIC TRACE
HOOVER AL 35244

Organization’s website
Organization’s email IMPACTAL@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P46 - Family Counseling
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 GEORGE CASEY
Signature Title DIRECTOR
Signature Date 10/29/19

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