FORM 1023-EZ for UPLIFT MISSION

Field Data
EIN 85-4061905
Case Number EO-2021035-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPLIFT MISSION
Organization’s Mailing Address 11621 SOUTH 4000 WEST SUITE 101
City SOUTH JORDAN
State UT
ZIP 84095
Accounting period End 12
Primary contact name ALEXIS WALBECK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXIS WALBECK
DIRECTOR/PRESIDENT/SECRETARY/TREASU
11621 SOUTH 4000 WEST SUITE 101
SOUTH JORDAN UT 84095

Officer/Director/Trustee Two

PARKER WALBECK
DIRECTOR
11621 SOUTH 4000 WEST SUITE 101
SOUTH JORDAN UT 84095

Officer/Director/Trustee Three

LUCY WALBECK
DIRECTOR
11621 SOUTH 4000 WEST SUITE 101
SOUTH JORDAN UT 84095

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L25 - Housing Rehabilitation
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 Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALEXIS WALBECK
Signature Title DIRECTOR/PRESIDENT/SECRETARY/TREASU
Signature Date 12/16/2020

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