FORM 1023-EZ for AKIN TODD SCHOLARSHIP CORPORATION

Field Data
EIN 81-3034403
Case Number EO-2016210-000677
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AKIN TODD SCHOLARSHIP CORPORATION
Organization’s Mailing Address 1993 SOUTH FORK DRIVE
City LAFAYETTE
State CO
ZIP 80026
Accounting period End 12
Primary contact name KATHIE JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHIE JACKSON
DIRECTOR
1993 SOUTH FORK DRIVE
LAFAYETTE CO 80026

Officer/Director/Trustee Two

ETHAN JORGENSEN
BOARD MEMBER
6143 SHAMROCK CIRCLE
FREDERICK CO 80531

Officer/Director/Trustee Three

CHARLENE HODGES
BOARD MEMBER
6143 SHAMROCK CIRCLE
FREDERICK CO 80531

Organization’s website
Organization’s email KATHIE.JACKSON@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2016
Organization Incorporation State CO
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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