FORM 1023-EZ for SILVER STARS SYNCHRONIZED SKATING TEAMS

Field Data
EIN 47-3792506
Case Number EO-2015117-000398
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SILVER STARS SYNCHRONIZED SKATING TEAMS
Organization’s Mailing Address 5201 SOUTH MURRAY PARK LANE
City MURRAY
State UT
ZIP 84107-4803
Accounting period End 12
Primary contact name LAUREN BACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAUREN BACON
DIRECTOR, PRESIDENT, AND SECRETARY
14648 SOUTH SAGE CREST DRIVE
BLUFFDALE UT 84065-4942

Officer/Director/Trustee Two

DANIELLE KELSCH
DIRECTOR
6016 LASALLE DRIVE
MURRAY UT 84123-6857

Officer/Director/Trustee Three

TRAVIS NEWEY
DIRECTOR
6007 SOUTH 115 WEST
MURRAY UT 84107-6918

Officer/Director/Trustee Four

LYNN TEYNOR
DIRECTOR
1396 EAST STILLWOOD DRIVE
SALT LAKE CITY UT 84117-8046

Organization’s website NONE
Organization’s email UTAHSILVERSTARS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2015
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
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
Signature Title
Signature Date

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