FORM 1023-EZ for UTAH HOCKEY BOOSTER CLUB

Field Data
EIN 83-3711155
Case Number EO-2019058-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UTAH HOCKEY BOOSTER CLUB
Organization’s Mailing Address 10704 SOUTH STONE GATE CIRCLE
City SANDY
State UT
ZIP 84092
Accounting period End 12
Primary contact name JAMES MICHAEL KIME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES KIME
PRESIDENT, DIRECTOR
10704 SOUTH STONE GATE CIRCLE
SANDY UT 84092

Officer/Director/Trustee Two

TIM BYWATER
DIRECTOR
346 NORTH MIDDLE OAK LANE
SALT LAKE CITY UT 84108

Officer/Director/Trustee Three

KELLY GAPTER
DIRECTOR
504 SUGAR PLUM LANE
NORTH SALT LAKE UT 84054

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/19
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: Yes
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 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 JAMES KIME
Signature Title PRESIDENT, DIRECTOR
Signature Date 2/25/19

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