FORM 1023-EZ for VALCARE IMPACT
| Field | Data |
|---|---|
| EIN | 84-3202390 |
| Case Number | EO-2019353-000231 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | VALCARE IMPACT |
| Organization’s Mailing Address | 6 COACH LANE |
| City | WESTPORT |
| State | CT |
| ZIP | 06880 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER BELCHER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
IVAN SWARTZ
PRESIDENT, SECRETARY, DIRECTOR
6 COACH LANE
WESTPORT CT 06880
Officer/Director/Trustee Two
CHARL MALAN
VICE PRES, TREASURER, DIRECTOR
6 COACH LANE
WESTPORT CT 06880
Officer/Director/Trustee Three
MARTIN VENTER
DIRECTOR
6 COACH LANE
WESTPORT CT 06880
Officer/Director/Trustee Four
HEIN KOEGELENBERG
DIRECTOR
6 COACH LANE
WESTPORT CT 06880
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/7/2019 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Q32 - International Economic Development |
| 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 | Yes |
| 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 | IVAN SWARTZ |
| Signature Title | PRESIDENT, SECRETARY, DIRECTOR |
| Signature Date | 12/17/2019 |
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