FORM 1023-EZ for PAY IT FORWARD PARAGOULD

Field Data
EIN 47-5609624
Case Number EO-2016034-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAY IT FORWARD PARAGOULD
Organization’s Mailing Address PO BOX 1464
City PARAGOULD
State AR
ZIP 72451-1464
Accounting period End 12
Primary contact name DUSTIN RUMSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DUSTIN RUMSEY
PRESIDENT
1207 COLE STREET
PARAGOULD AR 72450

Officer/Director/Trustee Two

LINDSEY WILLIAMS
VICE-PRESIDENT
607 ELIZABETH DRIVE
PARAGOULD AR 72450

Officer/Director/Trustee Three

KRYSTAL MCFARLAND
TREASURER
506 WEST COURT STREET
PARAGOULD AR 72450

Officer/Director/Trustee Four

FELISHA TEXTOR
SECRETARY
604 S 12TH ST
PARAGOULD AR 72450

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2015
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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
Signature Title
Signature Date

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