FORM 1023-EZ for WESTERN GOVERNORS UNIVERSITY HONORSOCIETY OF NURSING

Field Data
EIN 47-3150887
Case Number EO-2016208-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN GOVERNORS UNIVERSITY HONORSOCIETY OF NURSING
Organization’s Mailing Address 4001 SOUTH 700 EAST SUITE 700
City SALT LAKE CITY
State UT
ZIP 84107-2177
Accounting period End 12
Primary contact name CHRISTOPHER N NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY KEEN
PRESIDENT
4001 SOUTH 700 EAST SUITE 700
SALT LAKE CITY UT 84107

Officer/Director/Trustee Two

LORA ADAMS
TREASURER
4001 SOUTH 700 EAST SUITE 700
SALT LAKE CITY UT 84107

Officer/Director/Trustee Three

DAVID LEASURE
DIRECTOR
4001 SOUTH 700 EAST SUITE 700
SALT LAKE CITY UT 84107

Officer/Director/Trustee Four

JAN JONES-SCHENK
DIRECTOR
4001 SOUTH 700 EAST SUITE 700
SALT LAKE CITY UT 84107

Officer/Director/Trustee Five

DAVID GROW
DIRECTOR
4001 SOUTH 700 EAST SUITE 700
SALT LAKE CITY UT 84107

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2015
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
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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