FORM 1023-EZ for FILM AND MEDIA ALLIANCE OF SOUTHERNUTAH

Field Data
EIN 82-1868786
Case Number EO-2017240-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FILM AND MEDIA ALLIANCE OF SOUTHERNUTAH
Organization’s Mailing Address 942 MANZANITA ROAD
City SAINT GEORGE
State UT
ZIP 84790
Accounting period End 12
Primary contact name ADAM MAST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM MAST
PRESIDENT
942 MANZANITA ROAD
SAINT GEORGE UT 84790

Officer/Director/Trustee Two

TONJA MAST
DIRECTOR
942 MANZANITA ROAD
SAINT GEORGE UT 84790

Officer/Director/Trustee Three

JOHN PUGH
DIRECTOR
60 E 700 N APT F
OREM UT 84057

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2017
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
Organization’s purpose Charitable: No
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 Yes
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
Signature Title
Signature Date

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