FORM 1023-EZ for UTAH SOCIETY OF ALLERGY AND ASTHMA

Field Data
EIN 82-1013132
Case Number EO-2017268-000405
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UTAH SOCIETY OF ALLERGY AND ASTHMA
Organization’s Mailing Address 6095 S FASHION BLVD STE 100
City MURRAY
State UT
ZIP 84107
Accounting period End 12
Primary contact name ANDREW SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW SMITH
PRESIDENT/DIRECTOR
6095 S FASHION BLVD STE 100
MURRAY UT 84107

Officer/Director/Trustee Two

ROBERT SILGE
VICE PRESIDENT/DIRECTOR
2000 S 900 E
SALT LAKE CITY UT 84105

Officer/Director/Trustee Three

VICKI LYONS
SEC/TREASURER/DIRECTOR
4403 HARRISON BLVD STE 4640
OGDEN UT 84403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2017
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G60 - Allergy Related Diseases
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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