FORM 1023-EZ for COMMUNITY IMPACT & ENRICHMENT INC
| Field | Data |
|---|---|
| EIN | 83-3885984 |
| Case Number | EO-2019074-000625 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY IMPACT & ENRICHMENT INC |
| Organization’s Mailing Address | PO BOX 2280 |
| City | STATESBORO |
| State | GA |
| ZIP | 30459 |
| Accounting period End | 12 |
| Primary contact name | JARVIS ROBIN BARNES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JARVIS BARNES
FOUNDER, PRESIDENT
PO BOX 1356
STATESBORO GA 30459
Officer/Director/Trustee Two
MARTRELLA RICH
EXECUTIVE SECRETARY
140 STONEBROOK WAY
STATESBORO GA 30458
Officer/Director/Trustee Three
LAKEIDRA GRANT
RECORDING SECRETARY
126 GARFIELD STREET
STATESBORO GA 30458
Officer/Director/Trustee Four
CHRISTOPHER HOWARD
SERGEANT-AT-ARMS
4 CONE HOMES
STATESBORO GA 30458
| Organization’s website | |
|---|---|
| Organization’s email | CI.COMMUNITYIMPACT@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/11/19 |
| Organization Incorporation State | GA |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JARVIS BARNES |
| Signature Title | FOUNDER, PRESIDENT |
| Signature Date | 3/13/19 |
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