FORM 1023-EZ for UTAH SOCIETY FOR SOCIAL WORK LEADERSHIP IN HEALTH CARE INC

Field Data
EIN 47-0851023
Case Number EO-2020057-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UTAH SOCIETY FOR SOCIAL WORK LEADERSHIP IN HEALTH CARE INC
Organization’s Mailing Address 1670 E 1475 S
City OGDEN
State UT
ZIP 84404
Accounting period End 12
Primary contact name AARON GARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA KEIRSTEAD
BOARD PRESIDENT
1670 E 1475 S
OGDEN UT 84404

Officer/Director/Trustee Two

JESSICA WOODS
BOARD MEMBER
1670 E 1475 S
OGDEN UT 84404

Officer/Director/Trustee Three

MICHELLE NELSON
BOARD MEMBER
1670 E 1475 S
OGDEN UT 84404

Officer/Director/Trustee Four

NATE ROSE
BOARD MEMBER
1670 E 1475 S
OGDEN UT 84404

Officer/Director/Trustee Five

MATT PALFREYMAN
BOARD MEMBER
1670 E 1475 S
OGDEN UT 84404

Organization’s website WWW.USSWLHC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2016
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAURA KEIRSTEAD
Signature Title BOARD PRESIDENT
Signature Date 2/24/2020

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