FORM 1023-EZ for PROJECT EMBRACE

Field Data
EIN 82-1814956
Case Number EO-2019112-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT EMBRACE
Organization’s Mailing Address 6268 W 8235 S
City WEST JORDAN
State UT
ZIP 84081
Accounting period End 11
Primary contact name MOHAN SUDABATTULA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOHAN SUDABATTULA
EXECUTIVE DIRECTOR
6268 W 8235 S
WEST JORDAN UT 84081

Officer/Director/Trustee Two

GABRIELLE HOYER
DIR. OF RESEARCH AND PROJECT DEV.
4741 W GRANADA HILLS CT
WEST JORDAN UT 84088

Officer/Director/Trustee Three

ABIGAIL GATES
DIRECTOR OF COMMUNITY ORGANIZATION
13267 FOXFIELD CT
DRAPER UT 84020

Officer/Director/Trustee Four

ZAC FOX
DIRECTOR OF MARKETING AND BRAND DEV
1133 TEE TIME DR
FARMINGTON UT 84025

Organization’s website HTTPS://WWW.PROJECTEMBRACE.ORG/
Organization’s email MOHAN@PROJECTEMBRACE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/16
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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 MOHAN SUDABATTULA
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/17/19

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