FORM 1023-EZ for MOUNTAIN MOMENTS

Field Data
EIN 84-3585790
Case Number EO-2019312-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN MOMENTS
Organization’s Mailing Address PO BOX 683745
City PARK CITY
State UT
ZIP 84068-3745
Accounting period End 12
Primary contact name CARLY BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLY BROOKS
INCORPORATOR
294 E ASPEN LN
PARK CITY UT 84098

Officer/Director/Trustee Two

CARA BAXTER
DIRECTOR
6821 N 2200 W 11-G
PARK CITY UT 84098

Officer/Director/Trustee Three

CORINNA COFFIN
TRUSTEE
133 S 900 E APT 7
SALT LAKE CITY UT 84102

Officer/Director/Trustee Four

KATHERINE SHARP
TRUSTEE
454 W 400 N
HEBER UT 84032

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 CARLY BROOKS
Signature Title INCORPORATOR
Signature Date 11/6/19

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