FORM 1023-EZ for RURAL SENIOR ADULT SERVICES DBA ATTACH

Field Data
EIN 81-3572167
Case Number EO-2017010-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RURAL SENIOR ADULT SERVICES DBA ATTACH
Organization’s Mailing Address P O BOX 283
City FAIRVIEW
State UT
ZIP 84629-0261
Accounting period End 12
Primary contact name DONNA M SEAGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA SEAGER
PRESIDENT
P O BOX 283
FAIRVIEW UT 84629-0283

Officer/Director/Trustee Two

CONNIE PARKER
VICE PRESIDENT
5707 SUNVIEW DRIVE
SALT LAKE CITY UT 84118

Officer/Director/Trustee Three

LISA COX
SECRETARY
11371 SOUTH 675 WEST
SOUTH JORDAN UT 84095

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2016
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P44 - Homemaker, Home Health Aide
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 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
Signature Title
Signature Date

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