FORM 1023-EZ for MISSOURI IMPACT GROUP

Field Data
EIN 82-0893123
Case Number EO-2017240-000512
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSOURI IMPACT GROUP
Organization’s Mailing Address 920 N COMMERCIAL STE C
City ST CLAIR
State MS
ZIP 63077
Accounting period End 12
Primary contact name LORI GRATZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI GRATZER
PRESIDENT
569 LIGHT LANE
ST CLAIR MO 63077

Officer/Director/Trustee Two

MARK BAY
VICE PRESIDENT
11265 GRAVOIS
ST CLAIR MO 63077

Officer/Director/Trustee Three

JULIE DICKINSON
SECRETARY
7235 HIGHWAY FF
LONEDELL MO 63077

Officer/Director/Trustee Four

MEGAN GEORGE
TREASURER
1001 SARA JANE LANE
ST CLAIR MO 63077

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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