FORM 1023-EZ for PW RETREAT DBA PILGRIMAGE

Field Data
EIN 82-0907289
Case Number EO-2018109-000485
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PW RETREAT DBA PILGRIMAGE
Organization’s Mailing Address 2145 NPRTH 1450 EAST
City PROVO
State UT
ZIP 84604
Accounting period End 6
Primary contact name HINCKLEY JONES-SANPEI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTI JONES
COMMITTEE MEMBER
1121 EAST LOCH LOMOND DRIVE
MILLCREEK UT 84117

Officer/Director/Trustee Two

DARLA LONGHURST-VAN ZEBEN
COMMUNICATIONS OFFICER
4067 JUNIPER LANE
EDEN UT 84310

Officer/Director/Trustee Three

HINCKLEY JONES-SANPEI
TREASURER
2145 NORTH 1450 EAST
PROVO UT 84604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/17
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
Organization’s purpose Charitable: Yes
Religious: Yes
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 HINCKLEY JONES-SANPEI
Signature Title TREASURER
Signature Date 4/16/18

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