FORM 1023-EZ for ETHANS SUPER ANGELS

Field Data
EIN 84-2680049
Case Number EO-2019288-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ETHANS SUPER ANGELS
Organization’s Mailing Address 4856 WEST SUNDEW LN
City WEST JORDAN
State UT
ZIP 84081
Accounting period End 8
Primary contact name JENNIFER VANLEUVEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAYDEN PALMER
DIRECTOR/PRESIDENT
4856 WEST SUNDEW LN
WEST JORDAN UT 84081-3393

Officer/Director/Trustee Two

JENNIFER VANLEUVEN
DIRECTOR/SECRETARY
4856 WEST SUNDEW LN
WEST JORDAN UT 84081-3393

Officer/Director/Trustee Three

MERRILL VANLEUVEN
TRUSTEE/TREASURER
4856 WEST SUNDEW LN
WEST JORDAN UT 84081-3393

Officer/Director/Trustee Four

LORIN PALMER
LOGISTICS/BUSINESS DEVELOPMENT
12452 CHEVAL CT
HERRIMAN UT 84096

Organization’s website HTTPS://WWW.FACEBOOK.COM/ETHANVANLEUVENTOURNAMENT/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
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 JENNIFER VANLEUVEN
Signature Title DIRECTOR/SECRETARY
Signature Date 10/10/19

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