FORM 1023-EZ for IMPACT USA

Field Data
EIN 83-3328623
Case Number EO-2019038-000781
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT USA
Organization’s Mailing Address 10907 BEACH MILL ROAD
City GREAT FALLS
State VA
ZIP 22066
Accounting period End 12
Primary contact name SUKUMAR IYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUKUMAR IYER
EXECUTIVE DIRECTOR
10907 BEACH MILL RD
GREAT FALLS VA 22066

Officer/Director/Trustee Two

SHEILA IYER
DIRECTOR
10907 BEACH MILL RD
GREAT FALLS VA 22066

Officer/Director/Trustee Three

SNEHA IYER
DIRECTOR
10907 BEACH MILL RD
GREAT FALLS VA 22066

Organization’s website HTTP://WWW.IMPACT-USA.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: No
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 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 SUKUMAR IYER
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/2/19

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