FORM 1023-EZ for IMPACT TEENS

Field Data
EIN 82-1088394
Case Number EO-2018232-000382
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT TEENS
Organization’s Mailing Address 112 HINES DRIVE
City GOLDSBORO
State NC
ZIP 27534
Accounting period End 12
Primary contact name KHALIL COBB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KHALIL COBB
FOUNDER CEO
103 CELLA STREET
GOLDSBORO NC 27534

Officer/Director/Trustee Two

JASHAWN FAIRE
COFOUNDER CEO
103 CELLA STREET
GOLDSBORO NC 27534

Officer/Director/Trustee Three

ESSENCE BRYANT
PRESIDENT
309 RANDALL LANE APARTMENT B
GOLDSBORO NC 27534

Officer/Director/Trustee Four

ERICA BATTS
VICE PRESIDENT
106 SAWGRASS PLACE
GOLDSBORO NC 27534

Officer/Director/Trustee Five

KYREE WILLIAMS
CHIEF OF STAFF
1401 CUYLER BEST ROAD
GOLDSBORO NC 27534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
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 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 KHALIL COBB
Signature Title FOUNDER CEO
Signature Date 8/16/18

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