FORM 1023-EZ for JERRY K AND PATRICIA E CROSBIE FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-4111897 |
| Case Number | EO-2020044-000389 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JERRY K AND PATRICIA E CROSBIE FOUNDATION |
| Organization’s Mailing Address | 1617 E PRINCETON AVENUE |
| City | SLC |
| State | UT |
| ZIP | 84105 |
| Accounting period End | 12 |
| Primary contact name | MINDY CROSBIE RELYEA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MINDY CROSBIE RELYEA
PRESIDENT AND DIRECTOR
1617 PRINCETON AVE
SLC UT 84105
Officer/Director/Trustee Two
SKYLAR RELYEA BEUS
TRUSTEE
6037 ROPER DRIVE
MOUNTAIN GREEN UT 84050
Officer/Director/Trustee Three
JACK ADDISON RELYEA
TRUSTEE
1617 PRINCETON AVENUE
SLC UT 84105
Officer/Director/Trustee Four
RYAN CROSBIE RELYEA
TRUSTEE
1617 PRINCETON AVE
SALT LAKE CITY UT
Officer/Director/Trustee Five
GEORGE GREYSON RELYEA
TRUSTEE
1617 E PRINCETON AVE
SLC UT 84105-1737
| Organization’s website | |
|---|---|
| Organization’s email | MINDYRELYEA@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/10/2020 |
| Organization Incorporation State | UT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion 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 | MINDY CROSBIE RELYEA |
| Signature Title | PRESIDENT AND DIRECTOR |
| Signature Date | 2/11/2020 |
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