FORM 1023-EZ for IMPACT TRAVEL INC

Field Data
EIN 82-2036282
Case Number EO-2017186-000043
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMPACT TRAVEL INC
Organization’s Mailing Address 45 RUSSETT LANE
City MIDDLETOWN
State CT
ZIP 06405
Accounting period End 6
Primary contact name SAROJ BHANDARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAROJ BHANDARI
PRESIDENT
45 RUSSETT LN
MIDDLETOWN CT 06457

Officer/Director/Trustee Two

SHEELA EVANS
DIRECTOR OF FINANCE
31 JUNIPER LANE
SOUTH WINDSOR CT 06074

Officer/Director/Trustee Three

JOHN CINQUE
DIRECTOR OF INFORMATION
1535 N SCOTTSDALE ROAD
TEMPE AZ 85281

Officer/Director/Trustee Four

NELSON CHALAS
DIRECTOR OF OPERATION
42 GEORGIANA STREET
NEW LONDON CT 06320

Officer/Director/Trustee Five

CHRISTINA YANG
DIRECTOR OF
2090 STANLEY STREET
NEW BRITAIN CT 06053

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2017
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: No
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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