FORM 1023-EZ for UTAH INFERTILITY RESOURCE CENTER
| Field | Data |
|---|---|
| EIN | 47-5024800 |
| Case Number | EO-2015327-000495 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | UTAH INFERTILITY RESOURCE CENTER |
| Organization’s Mailing Address | 2169 EAST WILSON AVENUE |
| City | SALT LAKE CITY |
| State | UT |
| ZIP | 84108 |
| Accounting period End | 12 |
| Primary contact name | CAMILLE HAWKINS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
CAMILLE HAWKINS
PRESIDENT
2169 EAST WILSON AVENUE
SALT LAKE CITY UT 84108
Officer/Director/Trustee Two
MRECIA SEEGMILLER
VICE PRESIDENT
447 EAST 900 NORTH
NORTH SALT LAKE UT 84054
Officer/Director/Trustee Three
AUPERA VAN HUIZEN
TREASURER
540 EVERGREEN CIRCLE
BOUNTIFUL UT 84010
Officer/Director/Trustee Four
BROOKE WALRATH
SECRETARY
652 EAST 700 SOUTH APT 6
SALT LAKE CITY UT 84102
Officer/Director/Trustee Five
KRISTIN DAUGHERTY
TRUSTEE
4728 WEST 9120 NORTH
ELWOOD UT 84337
| Organization’s website | HTTP://WWW.UTAHINFERTILITYRESOURCECENTER.ORG/ |
|---|---|
| Organization’s email | CAMILLE@UIRC.INFO |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/11/2015 |
| Organization Incorporation State | UT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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