FORM 1023-EZ for ST GEORGE MOXI DANCE COMPANY

Field Data
EIN 47-4372630
Case Number EO-2015180-000401
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST GEORGE MOXI DANCE COMPANY
Organization’s Mailing Address 2050 SOUTH STONEGATE CIRCLE NO 15
City WASHINGTON
State UT
ZIP 84780
Accounting period End 3
Primary contact name MATTHEW HAFEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD JACOBSON
PRESIDENT AND DIRECTOR
2572 CHACO TRAIL
ST. GEORGE UT 84770

Officer/Director/Trustee Two

SANDRA JACOBSON
DIRECTOR
2572 CHACO TRAIL
ST. GEORGE UT 84770

Officer/Director/Trustee Three

REBEKAH HANLEY
VICE-PRESIDENT AND DIRECTOR
2050 SOUTH STONEGATE CIRCLE 15
WASHINGTON UT 84780

Officer/Director/Trustee Four

SAMANTHA ATKINSON
SECRETARY AND DIRECTOR
239 EAST GAIL WAY
WASHINGTON UT 84780

Officer/Director/Trustee Five

SHAY MYERS
TREASURER AND DIRECTOR
3439 SOUTH BARCELONA DR 82
ST. GEORGE UT 84790

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2015
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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