FORM 1023-EZ for 1NS TABLE

Field Data
EIN 84-4112677
Case Number EO-2020098-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 1NS TABLE
Organization’s Mailing Address 1589 N 2850 E
City LAYTON
State UT
ZIP 84040
Accounting period End 12
Primary contact name JENIFER FAIRCHILD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENIFER FAIRCHILD
DIRECTOR
1589 N 2850 E
LAYTON UT 84040

Officer/Director/Trustee Two

DIANE FAIRCHILD
TREASURER
1589 N 2850 E
LAYTON UT 84040

Officer/Director/Trustee Three

LINDSAY WHITE
SECRETARY
3932 WEST UNIONDALE COURT
SOUTH JORDAN UT 84009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities 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 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 JENIFER FAIRCHILD
Signature Title DIRECTOR
Signature Date 4/1/2020

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