FORM 1023-EZ for EMPACT INC

Field Data
EIN 86-3492134
Case Number EO-2021175-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPACT INC
Organization’s Mailing Address 10018 FOX DEN RD
City ELLICOTT CITY
State MD
ZIP 21042-2226
Accounting period End 4
Primary contact name ALLAN GREGORY CAREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY CAREY
PRESIDENT
10018 FOX DEN RD
ELLICOTT CITY MD 21042

Officer/Director/Trustee Two

INDIRA CAREY
VICE PRESIDENT
10018 FOX DEN RD
ELLICOTT CITY MD 21042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2021
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 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 GREGORY CAREY
Signature Title PRESIDENT
Signature Date 6/23/2021

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