FORM 1023-EZ for IMPACT COMMUNITY OUTREACH

Field Data
EIN 32-0127566
Case Number EO-2018068-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT COMMUNITY OUTREACH
Organization’s Mailing Address 10210 E CRYSTAL FALLS PKWY STE C
City LEANDER
State TX
ZIP 78641-2287
Accounting period End 12
Primary contact name SCOTT MACZUGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT MACZUGA
CEO
10210 E CRYSTAL FALLS PKWY STE C
LEANDER TX 78641-2287

Officer/Director/Trustee Two

TRACY MACZUGA
COO
10210 E CRYSTAL FALLS PKWY STE C
LEANDER TN 78641-2287

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/04
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Donation of funds Yes
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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name SCOTT MACZUGA
Signature Title CEO
Signature Date 3/7/18

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