FORM 1023-EZ for OMEGA IMPACT

Field Data
EIN 84-3631483
Case Number EO-2019326-000474
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMEGA IMPACT
Organization’s Mailing Address 229 S HAMPTON RD NUM 1026
City DESOTO
State TX
ZIP 75115
Accounting period End 12
Primary contact name BILLY J BASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILLY BASS
PRESIDENT
229 S HAMPTON RD NUM 1026
DESOTO TX 75115

Officer/Director/Trustee Two

HARDY BOUYER
VICE PRESIDENT
229 S HAMPTON RD NUM 1026
DESOTO TX 75115

Officer/Director/Trustee Three

TINITIA RIVERS
SECRETARY
229 S HAMPTON RD NUM 1026
DESOTO TX 75115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K35 - Eatery, Agency, Organization Sponsored
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BILLY BASS
Signature Title PRESIDENT
Signature Date 11/20/19

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