FORM 1023-EZ for IMPACT 1 FOUNDATION

Field Data
EIN 47-2478986
Case Number EO-2014345-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMPACT 1 FOUNDATION
Organization’s Mailing Address 8800 N AUTUMN RD
City OKLAHOMA CITY
State OK
ZIP 73151-9500
Accounting period End 12
Primary contact name TERESA FARRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER JESTES
PRESIDENT
8800 N AUTUMN RD
OKLAHOMA CITY OK 73151-9500

Officer/Director/Trustee Two

TERESA FARRELL
SECRETARY
7300 MISTY GLENN DR
EDMOND OK 73025-9866

Officer/Director/Trustee Three

SHERRIE DUNN
TREASURER
1605 MARKWELL AVE
OKLAHOMA CITY OK 73127-3042

Officer/Director/Trustee Four

BARBARA MOORE
VICE-PRESIDENT
1605 MARKWELL AVE
OKLAHOMA CITY OK 73127-3042

Organization’s website
Organization’s email IMPACT1@IMPACT1FOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2014
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
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 Yes
Signature Name
Signature Title
Signature Date

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