FORM 1023-EZ for CHRIST IMPACT CHURCH

Field Data
EIN 82-3524524
Case Number EO-2017333-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRIST IMPACT CHURCH
Organization’s Mailing Address 333 SWANSON DR SUITE 124
City LAWRENCEVILLE
State GA
ZIP 30043
Accounting period End 12
Primary contact name EMMANUEL GOMASHIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMMANUEL GOMASHIE
PRESIDENT
3055 HIDDEN DR
LAWRENCEVILLE GA 30044

Officer/Director/Trustee Two

ERNEST MENSAH
VICE PRESIDENT
1166 OTIS DR
BETHLEHAM GA 30820

Officer/Director/Trustee Three

DIANA AWUAH
ADMINISTRATOR
511 GARDEN VIEW CT
LAWRENCEVILLE GA 30046

Officer/Director/Trustee Four

LETCHIA GOMASHIE
SECRETARY
3055 HIDDEN DR
LAWRENCEVILLE GA 30044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
One Third Support Public No
One Third Support Gifts Yes
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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