FORM 1023-EZ for PAY IT FORWARD FORT SMITH
| Field | Data |
|---|---|
| EIN | 83-3703097 |
| Case Number | EO-2019092-000430 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PAY IT FORWARD FORT SMITH |
| Organization’s Mailing Address | 321 NORTH MAY AVENUE |
| City | FORT SMITH |
| State | AR |
| ZIP | 72901-3554 |
| Accounting period End | 12 |
| Primary contact name | DARLA LACKEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DARLA LACKEY
PRESIDENT
321 NORTH MAY AVENUE
FORT SMITH AR 72901-3554
Officer/Director/Trustee Two
CRAIG WOOTEN
VICE PRESIDENT
321 NORTH MAY AVENUE
FORT SMITH AR 72901-3554
Officer/Director/Trustee Three
ELIZABETH MILLER
TREASURER
115 S 44TH STREET
VAN BUREN AR 72956-5631
Officer/Director/Trustee Four
ROSE HENSLEY
SECRETARY
3508 NORTH 50TH STREET
FORT SMITH AR 72904-3862
Officer/Director/Trustee Five
SUSANNA SISSON
DIRECTOR OF COMMUNITY RELATIO
723 NORTH 14TH STREET
FORT SMIITH AR 72901-2847
| Organization’s website | |
|---|---|
| Organization’s email | PAYITFORWARDFORTSMITH@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/20/19 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| 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 | 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 | DARLA LACKEY |
| Signature Title | PRESIDENT |
| Signature Date | 3/29/19 |
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