FORM 1023-EZ for UTAH TEEN ADAPTIVE HOPE

Field Data
EIN 84-5046949
Case Number EO-2020072-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UTAH TEEN ADAPTIVE HOPE
Organization’s Mailing Address 1931
City HEBER CITY
State UT
ZIP 84032
Accounting period End 12
Primary contact name JEFF PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF PETERSON
INCORPORATOR
1931 S WALL ST
HEBER CITY UT 84032

Officer/Director/Trustee Two

KAREN PETERSON
REGISTERED AGENT
1931 S WALL ST
HEBER CITY UT 84032

Officer/Director/Trustee Three

ADAM NADAULD
DIRECTOR
265 S 750 E
BOUNTIFUL UT 84010

Officer/Director/Trustee Four

KIP PORTER
DIRECTOR
5405 DERBY LANE
STANSBURY PARK UT 84074

Officer/Director/Trustee Five

AUDRA TURNER
DIRECTOR
2289 BUCHANAN AVE
OGDEN UT 84401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 JEFF PETERSON
Signature Title INCORPORATOR
Signature Date 3/10/2020

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