FORM 1023-EZ for IMPACT INSTITUTE
| Field | Data |
|---|---|
| EIN | 83-3918143 |
| Case Number | EO-2020084-000125 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | IMPACT INSTITUTE |
| Organization’s Mailing Address | 799 |
| City | SHEPHERDSTOWN |
| State | WV |
| ZIP | 25443 |
| Accounting period End | 3 |
| Primary contact name | RUDOLPH BROPLEH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
EZAX SMITH
CHAIR OF BOARD
937 FOXRIDGE LANE
ESSEX MD 21221
Officer/Director/Trustee Two
MARY STRIPINIS
SECRETARY
128 PATTERSON ROAD
HANSCOM AFB MA 01731
Officer/Director/Trustee Three
RUDOLPH BROPLEH
EXECUTIVE DIRECTOR
262 MADDEX FARM DRIVE
SHEPHERDSTOWN WV 25443
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/12/2019 |
| Organization Incorporation State | WV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S31 - Urban, Community Economic Development |
| 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 | 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 | 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 | RUDOLPH BROPLEH |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 3/22/2020 |
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