FORM 1023-EZ for THEOLOGY IMPACT INC

Field Data
EIN 82-1294119
Case Number EO-2017215-000021
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THEOLOGY IMPACT INC
Organization’s Mailing Address 922 OAK LANE APT 4
City MENLO PARK
State CA
ZIP 94025-4906
Accounting period End 12
Primary contact name GRANT DUNCAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRANT DUNCAN
DIRECTOR CHAIRMAN CEO AND PRESIDENT
922 OAK LANE APT 4
MENLO PARK CA 94025-4906

Officer/Director/Trustee Two

CHAD DUNCAN
DIRECTOR CFO AND TREASURER
7580 EAST TECHNOLOGY WAY APT 13303
DENVER CO 80237-3043

Officer/Director/Trustee Three

DAVID OTUWA
DIRECTOR
2215 W IOWA ST APT 2F
CHICAGO IL 60622-4844

Officer/Director/Trustee Four

GARETH LEAKE
DIRECTOR AND SECRETARY
918 WHITBY CT
SUGAR LAND TX 77479-5918

Organization’s website
Organization’s email GRANT.DUNCAN@THEOLOGYIMPACT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2017
Organization Incorporation State CA
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 No
Donation of funds No
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 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
Signature Title
Signature Date

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