FORM 1023-EZ for HEALTHY DIXIE COUNCIL

Field Data
EIN 26-2378497
Case Number EO-2020038-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY DIXIE COUNCIL
Organization’s Mailing Address 620 SOUTH 400 EAST SUITE 400
City SAINT GEORGE
State UT
ZIP 84770
Accounting period End 11
Primary contact name JORDAN MERRILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDAN MERRILL
CHAIRMAN
1251 JUNIPERO SERRA DR
SAINT GEORGE UT 84790

Officer/Director/Trustee Two

BENJAMIN RAE
VICE CHAIR
350 COMMUNITY CENTER DRIVE
WASHINGTON UT 84780

Officer/Director/Trustee Three

CAMILLE JESSOP
TREASURER
620 SOUTH 400 EAST
SAINT GEORGE UT 84770

Organization’s website HEALTHYDIXIECOUNCIL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2014
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 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 JORDAN MERRILL
Signature Title CHAIRMAN
Signature Date 2/5/2020

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