FORM 1023-EZ for DANCE FOR LIFE SUICIDE PREVENTION AND GOOD MENTAL HEALTH

Field Data
EIN 84-2625981
Case Number EO-2019232-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DANCE FOR LIFE SUICIDE PREVENTION AND GOOD MENTAL HEALTH
Organization’s Mailing Address 2895 SOUTH HIGHWAY 89
City PERRY
State UT
ZIP 84302
Accounting period End 12
Primary contact name KRISTIN BARLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTIN BARLOW
DIRECTOR AND PRESIDENT
1156 DENTWOOD DRIVE
BRIGHAM CITY UT 84302

Officer/Director/Trustee Two

CAMEE OYLER
TRUSTEE
451 VERN WAY
TREMONTON UT 84337

Officer/Director/Trustee Three

LEAH LARSEN
TRUSTEE
1075 BEECHER AVENUE
BRIGHAM CITY UT 84302

Organization’s website WWW.DANCEFORLIFENATION.ORG
Organization’s email DANCEFORLIFE108@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 KRISTIN BARLOW
Signature Title DIRECTOR AND PRESIDENT
Signature Date 8/18/19

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