FORM 1023-EZ for HEROES OF TRAUMA

Field Data
EIN 85-3967554
Case Number EO-2021018-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEROES OF TRAUMA
Organization’s Mailing Address 566 NORTH 2580 WEST
City PROVO
State UT
ZIP 84601
Accounting period End 12
Primary contact name ADAM WELCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM WELCH
CEO
566 NORTH 2580 WEST
PROVO UT 84601

Officer/Director/Trustee Two

SARAH WELCH
DIRECTOR
566 NORTH 2580 WEST
PROVO UT 84601

Organization’s website n/a
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADAM WELCH
Signature Title CEO
Signature Date 11/19/2020

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