FORM 1023-EZ for BACKPACK IMPACT INC

Field Data
EIN 82-3783256
Case Number EO-2018087-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACKPACK IMPACT INC
Organization’s Mailing Address 301 S MAIN STREET
City IRONTON
State MO
ZIP 63650
Accounting period End 12
Primary contact name WADE BUCKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WADE BUCKMAN
PRESIDENT
715 COUNTY ROAD 94A
IRONTON MO 63650

Officer/Director/Trustee Two

DANA WARD
VICE PRESIDENT
111 E MAPLE
ARCADIA MO 63621

Officer/Director/Trustee Three

RICK WARD
BOARD MEMBER
111 E MAPLE
ARCADIA MO 63621

Officer/Director/Trustee Four

RICHARD GILL
BOARD MEMBER
20381 HIGHWAY E
ARCADIA MO 63621

Officer/Director/Trustee Five

ALLISON GILL
BOARD MEMBER
20381 HIGHWAY E
ARCDAIA MO 63621

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/16
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: No
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 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 WADE BUCKMAN
Signature Title PRESIDENT
Signature Date 3/26/18

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