FORM 1023-EZ for IMPACT EVANGELISM

Field Data
EIN 82-1715515
Case Number EO-2017158-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMPACT EVANGELISM
Organization’s Mailing Address 1040 GRUBBS AVENUE - APARTMENT 105
City GARDENDALE
State AL
ZIP 35071
Accounting period End 12
Primary contact name JOHN P MACALLLISTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS TUMLIN
PRESIDENT - PRESIDING OFFICER
1040 GRUBBS AVENUE - APT 105
GARDENDALE AL 35071

Officer/Director/Trustee Two

DEBRA MACALLISTER
TREASURER
1040 GRUBBS AVENUE -APT 105
GARDENDALE AL 35071

Officer/Director/Trustee Three

JUSTIN GREER
VICE PRESIDENT
1040 GRUBBS AVENUE -APT 105
GARDENDALE AL 35071

Officer/Director/Trustee Four

DARIAN GREER
SECRETARY
1040 GRUBBS AVENUE -APT 105
GARDENDALE AL 35071

Officer/Director/Trustee Five

JOHN MACALLISTER
EXECUTIVE DIRECTOR
1040 GRUBBS AVENUE -APT 105
GARDENDALE AL 35071

Organization’s website
Organization’s email BROTHERJOHNNYMAC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2017
Organization Incorporation State AL
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: Yes
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 Yes
Donation of funds No
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
Signature Title
Signature Date

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