FORM 1023-EZ for IMPACT YOUTH DEVELOPMENT INC

Field Data
EIN 82-1417217
Case Number EO-2017128-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMPACT YOUTH DEVELOPMENT INC
Organization’s Mailing Address PO BOX 3901
City RAPID CITY
State SD
ZIP 57709
Accounting period End 5
Primary contact name MICHAEL GRECO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL GRECO
DIRECTOR
312 DENVER ST 101
RAPID CITY SD 57701

Officer/Director/Trustee Two

PAULA CLARY
DIRECTOR
4566 HOGAN ST
RAPID CITY SD 57703

Officer/Director/Trustee Three

JENNIFER PLASCENCIA
DIRECTOR
740 RADIAL LANE
BOX ELDER SD 57719

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2017
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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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