FORM 1023-EZ for PARAGON IT LEADERSHIP FORUM SCHOLARSHIP FOUNDATION

Field Data
EIN 81-1433774
Case Number EO-2016051-000051
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARAGON IT LEADERSHIP FORUM SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 108 THIRD STREET SUITE 200
City DES MOINES
State IA
ZIP 50309
Accounting period End 12
Primary contact name JOEL JACKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOEL JACKMAN
PRESIDENT
108 THIRD ST STE 200
DES MOINES IA 50309

Officer/Director/Trustee Two

CRAIG JACKMAN
VICE PRESIDENT
108 THIRD ST STE 200
DES MOINES IA 50309

Officer/Director/Trustee Three

PAIGE SCHIRONE
SECRETARY
108 THIRD ST STE 200
DES MOINES IA 50309

Officer/Director/Trustee Four

DONNA BALLARD
TREASURER
108 THIRD ST STE 200
DES MOINES IA 50309

Organization’s website
Organization’s email JJACKMAN@PARAGONITPROS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 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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