FORM 1023-EZ for EXPERIENCED PROFESSIONALS IMPACTINGCOMMUNITIES CORP

Field Data
EIN 46-5344583
Case Number EO-2015231-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EXPERIENCED PROFESSIONALS IMPACTINGCOMMUNITIES CORP
Organization’s Mailing Address 15757 PINES BLVD SUITE 185
City PEMBROKE PINES
State FL
ZIP 33027
Accounting period End 12
Primary contact name DOUG COFFEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREW DONALDSON
PRESIDENT
15757 PINES BLVD STE 185
PEMBROKE PINES FL 33027

Officer/Director/Trustee Two

JADE DONALDSON
DIRECTOR
15757 PINES BLVD STE 185
PEMBROKE PINES FL 33027

Officer/Director/Trustee Three

YVONNE DONALDSON
DIRECTOR
2005 SW 101 LANE
MIRAMAR FL 33025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B92 - Remedial Reading, Reading Encouragement
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 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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