FORM 1023-EZ for MOTION IMPACT

Field Data
EIN 84-2174036
Case Number EO-2019176-000454
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTION IMPACT
Organization’s Mailing Address PO BOX 427 - 4195 DOUGLAS AVE
City SEDALIA
State CO
ZIP 80135
Accounting period End 4
Primary contact name RYAN FILA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN FILA
PRESIDENT
PO BOX 427 -4195 DOUGLAS AVE
SEDALIA CO 80135

Organization’s website MOTIONIMPACT.ORG
Organization’s email BEHEARD@MOTIONIMPACT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 RYAN FILA
Signature Title PRESIDENT
Signature Date 6/21/19

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