FORM 1023-EZ for MBA HIGH IMPACT

Field Data
EIN 85-2728747
Case Number EO-2020255-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MBA HIGH IMPACT
Organization’s Mailing Address 111 E WACKER DRIVE - SUITE 2800
City CHICAGO
State IL
ZIP 60601
Accounting period End 12
Primary contact name PATRICK WARTAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SMITHA AREKAPUDI
DIRECTOR AND PRESIDENT
2734 NORTH LINCOLN AVENUE SUITE 3E
CHICAGO IL 60614

Officer/Director/Trustee Two

NICOLE KESTEN
DIRECTOR AND TREASURER
8915 KILPATRICK AVENUE
SKOKIE IL 60076

Officer/Director/Trustee Three

CAMERON SCHNICK
DIRECTOR AND VICE PRESIDENT
339 SANDERS STREET
INDIANAPOLIS IN 46225

Officer/Director/Trustee Four

PATRICK WARTAN
DIRECTOR AND SECRETARY
111 E WACKER DRIVE - SUITE 2800
CHICAGO IL 60601

Officer/Director/Trustee Five

ROBERT JOHN PAHURA
DIRECTOR AND CHIEF STRATEGY OFFICER
1604 ELDERBERRY DRIVE
LIBERTYVILLE IL 60048

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, 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 Yes
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 PATRICK WARTAN
Signature Title DIRECTOR AND SECRETARY
Signature Date 9/9/2020

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