FORM 1023-EZ for COMMUNITY IMPACT ORGANIZATION
| Field | Data |
|---|---|
| EIN | 58-2072547 |
| Case Number | EO-2019296-000310 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY IMPACT ORGANIZATION |
| Organization’s Mailing Address | 3219 LANDMARK STREET SUITE 3-A |
| City | GREENVILLE |
| State | NC |
| ZIP | 27834 |
| Accounting period End | 12 |
| Primary contact name | GALE SHIVER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GALE SHIVER
PRESIDENT
1014 FLEMING STREET
GREENVILLE NC 27834
Officer/Director/Trustee Two
GREG BATTS
VICE PRESIDENT
106 SAWGRASS PLACE
GOLDSBORO NC 27834
Officer/Director/Trustee Three
SANDRA TURNER
TREASURER
112 ROANOKE PLACE
GREENVILLE NC 27834
Officer/Director/Trustee Four
CHERYL WALTERS
SECRETARY
1607 WEST FIFTH STREET
GREENVILLE NC 27834
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/29/1992 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P40 - Family Services |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | GALE SHIVER |
| Signature Title | PRESIDENT |
| Signature Date | 10/21/2019 |
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