FORM 1023-EZ for SCIENCE MOAB ENGAGEMENT INITIATIVE

Field Data
EIN 83-4369761
Case Number EO-2020013-000526
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCIENCE MOAB ENGAGEMENT INITIATIVE
Organization’s Mailing Address 1558 ROCKY ROAD
City MOAB
State UT
ZIP 84532-3277
Accounting period End 5
Primary contact name KRISTINA YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS NAUMAN
DIRECTOR, CHAIR
18 LASAL RD
MOAB UT 84532-0001

Officer/Director/Trustee Two

CARRIE SCHWARTZ
TREASURER
450 EMMA BLVD APT A
MOAB UT 84532-0001

Officer/Director/Trustee Three

BRETT SUTTEER
DIRECTOR
977 ROWENA CT
MOAB UT 84532-0001

Officer/Director/Trustee Four

MARSHALL DVORSCAK
DIRECTOR
2814 DESERT RD
MOAB UT 84532-0001

Officer/Director/Trustee Five

KRISTINA YOUNG
EXECUTIVE DIRECTOR
1558 ROCKY RD
MOAB UT 84532-0001

Organization’s website SCIENCEMOAB.ORG
Organization’s email INFO@SCIENCEMOAB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2019
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
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 KRISTINA YOUNG
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/11/2020

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