FORM 1023-EZ for IMPACT ATHLETICS

Field Data
EIN 47-2464696
Case Number EO-2014356-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMPACT ATHLETICS
Organization’s Mailing Address 502 W 37TH STREET
City YUMA
State AZ
ZIP 85365-4520
Accounting period End 12
Primary contact name TARA DUARTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUSTIN RAUSCH
PRESIDENT
8126 E TOPEKA PLACE
YUMA AZ 85365-8636

Officer/Director/Trustee Two

CYNTHIA VALENCIA
VICE PRESIDENT
404 S 23RD AVENUE
YUMA AZ 85364-1721

Officer/Director/Trustee Three

JENNIFER STANTON
TREASURER
3722 E TAOS LANE
YUMA AZ 85365-7691

Officer/Director/Trustee Four

ERIN RAUSCH
ASSISTANT TREASURER
8126 E TOPEKA PLACE
YUMA AZ 85365-8636

Officer/Director/Trustee Five

TARA DUARTE
SECRETARY
502 W 37TH STREET
YUMA AZ 85365-4520

Organization’s website
Organization’s email IMPACT_ATHLETICS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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
Signature Title
Signature Date

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