FORM 1023-EZ for IMPACT EXCHANGE

Field Data
EIN 82-3917829
Case Number EO-2018022-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT EXCHANGE
Organization’s Mailing Address 6540 BRADELY RD
City LAS VEGAS
State NV
ZIP 89131-2913
Accounting period End 1
Primary contact name RICKEY R REICJH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICKEY REICH
PRESIDENT
6540 BRADLEY RD
LAS VEGAS NV 89131-2913

Officer/Director/Trustee Two

CHELSI CHEATOM
SECRETARY
3900 N RANCHO DR 105
LAS VEGAS NV 89130-3424

Officer/Director/Trustee Three

EVELYN MCGUCKIN-REICH
TREASURER
6540 BRADLEY RD
LAS VEGAS NV 89131-2913

Officer/Director/Trustee Four

RICKEY REICH
DIRECTOR
6540 BRADLEY RD
LAS VEGAS NV 89131-2913

Officer/Director/Trustee Five

MARLO TONGE
TRUSTEE
8702 AMBER AUTUMN ST
LAS VEGAS NV 89131-1201

Organization’s website
Organization’s email IMPACTEXCHANGE6114@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/17
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICKEY REICH
Signature Title DIRECTOR
Signature Date 1/18/18

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