FORM 1023-EZ for MISSIONARY IMPULSE INC

Field Data
EIN 83-2899496
Case Number EO-2019252-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSIONARY IMPULSE INC
Organization’s Mailing Address 25 FALLS DRIVE
City TIGER
State GA
ZIP 30576
Accounting period End 12
Primary contact name JAMES M HOSTETLER JD OFS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL ALBERT
PRESIDENT
25 FALLS DRIVE
TIGER GA 30576

Officer/Director/Trustee Two

AMANDA CASSAR
TRUSTEE
25 FALLS DRIVE
TIGER GA 30576

Officer/Director/Trustee Three

KEVIN LEAVER
TRUSTEE
25 FALLS DRIVE
TIGER GA 30576

Organization’s website
Organization’s email PAALBERT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 PAUL ALBERT
Signature Title PRESIDENT
Signature Date 9/5/19

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