FORM 1023-EZ for IMPACT THEATER GROUP INC

Field Data
EIN 85-1627078
Case Number EO-2020182-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT THEATER GROUP INC
Organization’s Mailing Address 145-21 LIBERTY AVENUE
City JAMAICA
State NY
ZIP 11435
Accounting period End 12
Primary contact name PAUL NICHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANYA BURKE
BOARD MEMBER
104-15 125TH STREET
SOUTH RICHMOND HILL NY 11419

Officer/Director/Trustee Two

LOULISE ERSKINE
BOARD MEMBER
3180 51ST STREET APT 3C
WOODSIDE NY 11377

Officer/Director/Trustee Three

RASHIED RUSHING
BOARD MEMBER
172-09 SAYRES AVENUE
JAMAICA NY 11433

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A61 - Performing Arts Centers
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TANYA BURKE
Signature Title BOARD MEMBER
Signature Date 6/26/2020

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