FORM 1023-EZ for RE-ACT

Field Data
EIN 84-1905711
Case Number EO-2019151-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RE-ACT
Organization’s Mailing Address 586 EAST 9TH AVENUE
City SALT LAKE CITY
State UT
ZIP 84103
Accounting period End 12
Primary contact name LORRI SUE RUPARD-BLUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORRI RUPARD-BLUNT
DIRECTOR
586 EAST 9TH AVENUE
PROVO UT 84604

Officer/Director/Trustee Two

DREW RUPARD
MANAGER
5176 NORTH UNIVERSITY AVE
PROVO UT 84604

Officer/Director/Trustee Three

CORY BLUNT
MANAGER
586 EAST 9TH AVENUE
SALT LAKE CITY UT 84103

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B28 - Specialized Education Institutions
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 LORRI RUPARD-BLUNT
Signature Title DIRECTOR
Signature Date 5/29/19

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