FORM 1023-EZ for IMPACT COMMUNITY SUPPORTS INC

Field Data
EIN 85-4154226
Case Number EO-2021039-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPACT COMMUNITY SUPPORTS INC
Organization’s Mailing Address 122 WESLEY LN
City COATESVILLE
State PA
ZIP 19320
Accounting period End 12
Primary contact name MICHAEL MCCLINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MCCLINE
CHAIRMAN
122 WESLEY LN
COATESVILLE PA 19320

Officer/Director/Trustee Two

NAKEYA MCCLINE
VICE-CHAIRPERSON
122 WESLEY LN
COATESVILLE PA 19320

Officer/Director/Trustee Three

QUANITA BAXTER
SECRETARY
122 WESLEY LN
COATESVILLE PA 19320

Officer/Director/Trustee Four

CARL HINES
TREASURER
2337 PHILMONT AVE SUITE 104A
HUNTINGDON VALLEY PA 19006

Officer/Director/Trustee Five

NICOLAS SABEN
SERGEANT AT ARMS
218 W 9TH ST
WILMINGTON DE 19801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL MCCLINE
Signature Title CHAIRMAN
Signature Date 12/4/2020

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