FORM 1023-EZ for DEEP IMPACT INC

Field Data
EIN 82-4555065
Case Number EO-2018071-000445
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEEP IMPACT INC
Organization’s Mailing Address 984 DUMONT AVE 2R
City BROOKLYN
State NY
ZIP 11208
Accounting period End 6
Primary contact name NICOLE CAMERON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE CAMERON
DIRECTOR
984 DUMONT AVE APT 2R
BROOKLYN NY 11208

Officer/Director/Trustee Two

BENIDA ALEXANDER-STOKES
DIRECTOR
195-25 WOODHULL AVE
JAMAICA NY 11423

Officer/Director/Trustee Three

TASEMERE GATHERS
DIRECTOR
1771 MONROE AVE
BRONX NY 10457

Organization’s website WWW.DEEPIMPACTINC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 NICOLE CAMERON
Signature Title DIRECTOR
Signature Date 3/10/18

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