FORM 1023-EZ for IMPACT WYOMING

Field Data
EIN 85-0500969
Case Number EO-2020085-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT WYOMING
Organization’s Mailing Address 718 DIVINE AVE
City CASPER
State WY
ZIP 82601
Accounting period End 3
Primary contact name ELISSA RUCKLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELISSA RUCKLE
REGISTERED AGENT
718 DIVINE AVE
CASPER WY 82601

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2020
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELISSA RUCKLE
Signature Title REGISTERED AGENT
Signature Date 3/23/2020

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