FORM 1023-EZ for IMPACT US NOW INC

Field Data
EIN 86-1940406
Case Number EO-2021270-000750
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT US NOW INC
Organization’s Mailing Address PO BOX 84
City BLAKESLEE
State PA
ZIP 18610-0084
Accounting period End 12
Primary contact name KAREN JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN JAMES
PRESIDENT AND FOUNDER
150 BIRCHWOOD ROAD
BLAKESLEE PA 18610-0084

Officer/Director/Trustee Two

ROSETTA HANCLE
TREASURER
2053 SCHENECTADY AVENUE
BROOKLYN NY 11234-3130

Officer/Director/Trustee Three

RICHARD JAMES
SECRETARY
150 BIRCHWOOD ROAD
BLAKESLEE PA 18610-0084

Officer/Director/Trustee Four

KANDACE MOORE
DIRECTOR
1797 MILL WOOD WAY
SUFFOLK VA 23434-2346

Officer/Director/Trustee Five

JEVONE ANDY
DIRECTOR
80-40 LEFFERTS BOULEVARD APT 6B
KEW GARDENS NY 11415-1704

Organization’s website WWW.IMPACTUSNOW.ORG
Organization’s email INFO@IMPACTUSNOW.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 KAREN JAMES
Signature Title PRESIDENT AND FOUNDER
Signature Date 9/25/2021

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