FORM 1023-EZ for LARSEN SHAW FOUNDATION
| Field | Data |
|---|---|
| EIN | 86-3164113 |
| Case Number | EO-2021104-000557 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LARSEN SHAW FOUNDATION |
| Organization’s Mailing Address | 754 WEST 900 S |
| City | PAYSON |
| State | UT |
| ZIP | 84651 |
| Accounting period End | 12 |
| Primary contact name | THAYNE LARSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
THAYNE LARSEN
DIRECTOR
754 W 900 S
PAYSON UT 84651
Officer/Director/Trustee Two
FRED LARSEN
DIRECTOR
1122 W 1375
OREM UT 84057
Officer/Director/Trustee Three
LEOLA BARNHILL
DIRECTOR
119 NORTH FRONT ST
SUGAR CITY ID 83448
Officer/Director/Trustee Four
BROOKS LARSEN
DIRECTOR
3124 LISA DR
MODESTO CA 95350
Officer/Director/Trustee Five
EUVONNA CHRISTENSEN
DIRECTOR
410 S 300 E
MT PLEASANT UT 84647
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/9/2021 |
| Organization Incorporation State | UT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes Literary: Yes 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 | THAYNE LARSEN |
| Signature Title | DIRECTOR |
| Signature Date | 4/9/2021 |
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