FORM 1023-EZ for IMPACT RECOVERY
| Field | Data |
|---|---|
| EIN | 47-5406712 |
| Case Number | EO-2019270-000201 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | IMPACT RECOVERY |
| Organization’s Mailing Address | 7749 E CAMINO TAMPICO |
| City | ANAHEIM |
| State | CA |
| ZIP | 92808 |
| Accounting period End | 12 |
| Primary contact name | BRIAN THOMPSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIFFANY BUELL
PRESIDENT
PO BOX 1449
SAN JUAN CAPISTRANO CA 92693
Officer/Director/Trustee Two
KAREN KAYLOR
TREASURER
5 VIGGIO LANE
FOOTHILL RANCH CA 92610
Officer/Director/Trustee Three
ELSIE TRENT
SECRETARY
2432 CAMINO CORSO RIO
SAN CLEMENTE CA 92673
Officer/Director/Trustee Five
BRIAN THOMPSON
CLINICAL DIRECTOR
7749 E CAMINO TAMPICO
ANAHEIM HILLS CA 92808-1000
| Organization’s website | IMPACTRECOVERY.US |
|---|---|
| Organization’s email | BRIAN@IMPACTRECOVERY.US |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/28/15 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F80 - Mental Health Association, Multipurpose |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BRIAN THOMPSON |
| Signature Title | CLINICAL DIRECTOR |
| Signature Date | 9/24/19 |
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