FORM 1023-EZ for IMPAC HOUSE INC

Field Data
EIN 85-4175561
Case Number EO-2021063-000449
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPAC HOUSE INC
Organization’s Mailing Address 4712 ADMIRALTY WAY SUITE 1131
City MARINA DEL REY
State CA
ZIP 90292
Accounting period End 12
Primary contact name ERIC SANDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC SANDERS
CEO
4712 ADMIRALTY WAY SUITE 1131
MARINA DEL REY CA 90292

Officer/Director/Trustee Two

RICHARD THOMPSON
SECRETARY TREASURER
1709 150TH STREET APT 1
GARDENA CA 90247

Organization’s website WWW.IMPACHOUSE.ORG
Organization’s email INFO@IMPACHOUSE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 ERIC SANDERS
Signature Title CEO
Signature Date 12/29/2020

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