FORM 1023-EZ for SITE IMPACT
| Field | Data |
|---|---|
| EIN | 82-1882757 |
| Case Number | EO-2021102-000427 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SITE IMPACT |
| Organization’s Mailing Address | 655 PROMENADE PKWY APT 2021 |
| City | IRVING |
| State | TX |
| ZIP | 75039 |
| Accounting period End | 12 |
| Primary contact name | JAMES F TAYLOR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CORY SHAW
DIRECTOR, EXECUTIVE DIRECTOR
655 PROMENADE PKWY APT 2021
IRVING TX 75039
Officer/Director/Trustee Two
SANDY SHAW
DIRECTOR, SEC/TREAS
2424 AMBERLEAF CT
CEDAR HILL TX 75104-4554
Officer/Director/Trustee Three
AL SHAW
DIRECTOR
2424 AMBERLEAF CT
CEDAR HILL TX 75104-4554
Officer/Director/Trustee Four
JAMES TAYLOR
TAX MATTERS OFFICER
3534 ELMRIDGE STREET
HOUSTON TX 77025
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/23/2017 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K30 - Food Service, Free Food Distribution Programs |
| 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 | Yes |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JAMES TAYLOR |
| Signature Title | TAX MATTERS OFFICER |
| Signature Date | 4/2/2021 |
| EIN | 82-1882757 |
| Case Number | EO-2017170-000372 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DIRECT IMPACT |
| Organization’s Mailing Address | 1001 LAKE CAROLYN PARKWAY APT 212 |
| City | IRVING |
| State | TX |
| ZIP | 75039 |
| Accounting period End | 12 |
| Primary contact name | CORY SHAW |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CORY SHAW
PRESIDENT/FOUNDER
1001 LAKE CAROLYN PKWY APT 212
IRVING TX 75039
Officer/Director/Trustee Two
AL SHAW
BOARD MEMBER
1187 COUNTY ROAD 215
NACOGDOCHES TX 75965
Officer/Director/Trustee Three
SANDY SHAW
BOARD MEMBER
1187 COUNTY ROAD 215
NACOGDOCHES TX 75965
Officer/Director/Trustee Four
CHRYSTINA WYA
SECRETARY
7500 S IH 35 APT 836
AUSTIN TX 78745
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/16/2017 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| Organization’s purpose | Charitable: Yes Religious: No 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 | 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 | |
| Signature Title | |
| Signature Date |
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