FORM 1023-EZ for THE SERVANT LEADERSHIP CENTER

Field Data
EIN 84-2544833
Case Number EO-2019270-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SERVANT LEADERSHIP CENTER
Organization’s Mailing Address 217 38TH STREET
City WEST DES MOINES
State IA
ZIP 50265
Accounting period End 12
Primary contact name PAUL LEAVENWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILL LOVE
PRESIDENT
559 82ND STREET
WEST DES MOINES IA 50266

Officer/Director/Trustee Two

MARK HICKS
VP/SECRETARY
247 57TH COURT
WEST DES MOINES IA 50266

Officer/Director/Trustee Three

PAUL LEAVENWORTH
OFFICER
217 38TH STREET
WEST DES MOINES IA 50265

Officer/Director/Trustee Four

ERIN SMITH-LEGO
BOARD MEMBER
204 NE COURT
GRIMES IA 50111

Officer/Director/Trustee Five

ALEC ZAMA
BOARD MEMBER
902 SE 5TH STREET
ANKENY IA 50021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 PAUL LEAVENWORTH
Signature Title OFFICER
Signature Date 9/25/19

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