FORM 1023-EZ for COMMUNITY IMPACT RVA

Field Data
EIN 83-2579950
Case Number EO-2018340-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY IMPACT RVA
Organization’s Mailing Address 1821 SIDNEY COURT
City GLEN ALLEN
State VA
ZIP 23059
Accounting period End 12
Primary contact name JACK REDFERN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK REDFERN JR
DIRECTOR
1821 SIDNEY COURT
GLEN ALLEN VA 23059

Officer/Director/Trustee Two

CINDY REDFERN
DIRECTOR
1821 SIDNEY COURT
GLEN ALLEN VA 23059

Organization’s website
Organization’s email SERVE@COMMUNITYIMPACTRVA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 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 JACK REDFERN JR
Signature Title DIRECTOR
Signature Date 12/3/18

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