FORM 1023-EZ for OPERATION IMPACT COMMUNITY DEVELOPMENT CENTER

Field Data
EIN 82-4909097
Case Number EO-2018232-000434
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPERATION IMPACT COMMUNITY DEVELOPMENT CENTER
Organization’s Mailing Address 8923 SUNSET LANE
City LITTLE ROCK
State AR
ZIP 72209
Accounting period End 6
Primary contact name KEVIN D ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN D ALLEN
CEO
8923 SUNSET LANE
LITTLE ROCK AR 72209

Officer/Director/Trustee Two

VALARIE M
CFO
8923 SUNSET LANE
LITTLE ROCK AR 72209

Officer/Director/Trustee Three

JANICE WILSON
EXECUITIVE SECRETARY
8923 SUNSET LANE
LITTLE ROCK AR 72209

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 No
Donation of funds Yes
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 Yes
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 KEVIN D ALLEN
Signature Title CEO
Signature Date 8/17/18

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