FORM 1023-EZ for IMPACT HOUSE INCORPORATED

Field Data
EIN 47-4011186
Case Number EO-2015293-000111
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMPACT HOUSE INCORPORATED
Organization’s Mailing Address 3955 SHUETOWN ROAD
City LYONS FALLS
State NY
ZIP 13368
Accounting period End 3
Primary contact name THERESA DECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THERESA DECKER
CO-DIRECTOR
3955 SHUETOWN ROAD
LYONS FALLS NV 13368

Officer/Director/Trustee Two

PATRICIA ODONNELL
CO-DIRECTOR
PO BOX 541
PORT LEYDEN NY 13433

Officer/Director/Trustee Three

SCOTT DANFORTH
CO-DIRECTOR
5770 SWISS ROAD
CASTORLAND NY 13620

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2015
Organization Incorporation State NY
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: 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 Yes
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 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

Recently Saved Organizations

Click on the save icon from a search results or organization page.