FORM 1023-EZ for BOX ELDER SCUBA TEAM

Field Data
EIN 81-2973636
Case Number EO-2016190-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOX ELDER SCUBA TEAM
Organization’s Mailing Address 52 S 1000 W
City BRIGHAM CITY
State UT
ZIP 84302-4404
Accounting period End 12
Primary contact name CASEY TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD PANTER
PRESIDENT
1210 WEST 3275 SOUTH
PERRY UT 84302-4211

Officer/Director/Trustee Two

ORYAN SMITH
VICE PRESIDENT
655 NORTH 100 WEST
MENDON UT 84325-8003

Officer/Director/Trustee Three

CASEY TAYLOR
SECRETARY
1090 WEST 2650 SOUTH
PERRY UT 84302-4923

Organization’s website
Organization’s email BOXELDERSCUBA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2016
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, 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 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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