FORM 1023-EZ for RESEARCH4IMPACT INC

Field Data
EIN 82-1045830
Case Number EO-2018051-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESEARCH4IMPACT INC
Organization’s Mailing Address 131 E GREEN ST APT 314
City ITHACA
State NY
ZIP 14850-5655
Accounting period End 12
Primary contact name ADAM LEVINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM LEVINE
PRESIDENT, TREASURER
131 E GREEN ST APT 314
ITHACA NY 14850-5655

Officer/Director/Trustee Two

DONALD GREEN
VICE PRESIDENT
221 SAWMILL ROAD
RED HOOK NY 12571

Officer/Director/Trustee Three

JACOB BOWERS
SECRETARY
211 WEST VERMONT AVE
URBANA IL 61801

Organization’s website WWW.R4IMPACT.ORG
Organization’s email HELLO@R4IMPACT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V02 - Management & Technical Assistance
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 No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 ADAM LEVINE
Signature Title PRESIDENT, TREASURER
Signature Date 2/16/18

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