FORM 1023-EZ for SIMPLE IMPACT NFP

Field Data
EIN 82-4111651
Case Number EO-2018026-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIMPLE IMPACT NFP
Organization’s Mailing Address 1018 N HAMLIN
City CHICAGO
State IL
ZIP 60651
Accounting period End 12
Primary contact name LATOYA WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TELONDA MCFARLAND
EXECUTIVE DIRECTOR
1018 N HAMLIN
CHICAGO IL 60651

Officer/Director/Trustee Two

CHIQUITA BROWN
OFFICER
2560 W 83RD ST
CHICAGO IL 60652

Officer/Director/Trustee Three

KINQUANA HOUSTON
OFFICER
7345 WASHINGTON ST
FOREST PARK IL 60130

Officer/Director/Trustee Four

MICHELLE EASTON
OFFICER
15024 MORGAN ST
HARVEY IL 60426

Organization’s website N/A
Organization’s email MSLONDA78@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 TELONDA MCFARLAND
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/23/18

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