FORM 1023-EZ for IMPACT POLAND INC

Field Data
EIN 87-2630861
Case Number EO-2021279-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT POLAND INC
Organization’s Mailing Address 2767 WELLS COURT
City KISSIMMEE
State FL
ZIP 34744
Accounting period End 12
Primary contact name JEFF FELDHAHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRZEJ GORSKI
PRESIDENT DIRECTOR
2767 WELLS COURT
KISSIMMEE FL 34744

Officer/Director/Trustee Two

TERRE ZEIGLER
TREAS SEC DIRECTOR
2767 WELLS COURT
KISSIMMEE FL 34744

Officer/Director/Trustee Three

CAROL WILDERMUTH
DIRECTOR
2767 WELLS COURT
KISSIMMEE FL 34744

Officer/Director/Trustee Four

ONALEE SWARTZ
DIRECTOR
2767 WELLS COURT
KISSIMMEE FL 34744

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 9/7/2021
Organization Incorporation State FL
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
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 No
Signature Name TERRE ZEIGLER
Signature Title TREAS SEC DIRECTOR
Signature Date 10/4/2021

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