FORM 1023-EZ for PARK CITY SENIOR CITIZENS INC

Field Data
EIN 85-2311235
Case Number EO-2020219-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARK CITY SENIOR CITIZENS INC
Organization’s Mailing Address 1961 MAHRE DR
City PARK CITY
State UT
ZIP 84098
Accounting period End 8
Primary contact name JAMES TEDFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDY MAEDEL
PRESIDENT
4117 KILBY RD
PARK CITY UT 84098

Officer/Director/Trustee Two

JAMES TEDFORD
DIRECTOR
1961 MAHRE DR
PARK CITY UT 84098

Officer/Director/Trustee Three

CHERYL SOSHNIK
DIRECTOR
1007 WOODSIDE AVE
PARK CITY UT 84060

Officer/Director/Trustee Four

BEA BURNETT
DIRECTOR
6851N 2200W 10G
PARK CITY UT 84098

Officer/Director/Trustee Five

PEGGY FLETCHER
DIRECTOR
654 WHITE PINE CT
PARK CITY UT 84060

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2019
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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 JAMES TEDFORD
Signature Title DIRECTOR
Signature Date 8/4/2020

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