FORM 1023-EZ for IMPACT AMERICA INC

Field Data
EIN 84-3552260
Case Number EO-2020049-000573
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT AMERICA INC
Organization’s Mailing Address 7523 COLGATE AVE
City DALLAS
State TX
ZIP 75225-4510
Accounting period End 12
Primary contact name R EDWIN PEARCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

R EDWIN PEARCE
CEO AND DIRECTOR
7523 COLGATE AVE
DALLAS TX 75225-4510

Officer/Director/Trustee Two

DOUGLAS WILLIAMSON
PRESIDENT AND DIRECTOR
1721 BELT LINE ROAD STE 721
COPPELL TX 75019-9616

Officer/Director/Trustee Three

DONALD VIPPERMAN
SECRETARY AND DIRECTOR
7132 PLANTERS ROW DRIVE
MCKINNEYT TX 75070-8617

Organization’s website THELIONSDENDFW.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2019
Organization Incorporation State TX
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: Yes
Scientific: Yes
Literary: Yes
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 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 R EDWIN PEARCE
Signature Title PRESIDENT CEO AND DIRECTOR
Signature Date 2/14/2020

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