FORM 1023-EZ for IMPACT RESPONSE INCORPORATED

Field Data
EIN 86-3016220
Case Number EO-2021224-000251
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT RESPONSE INCORPORATED
Organization’s Mailing Address 1046 DEKALB ST REAR
City NORRISTOWN
State PA
ZIP 19401-3848
Accounting period End 12
Primary contact name LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANITA EARNEST
DIRECTOR
3922 GERYVILLE PIKE
PENNSBURG PA 18073-2617

Officer/Director/Trustee Two

ISAAC ADRIEN
GENERAL MANAGER
131 AARON DRIVE
STATE COLLEGE PA 16803-3008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
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 Yes
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 DANITA EARNEST
Signature Title DIRECTOR
Signature Date 8/10/2021

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