| Field | Data |
|---|---|
| EIN | 86-3855077 |
| Case Number | EO-2021140-000559 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MOUNTAIN MEDICAL ACADEMY |
| Organization’s Mailing Address | 556 EAST LELAND AVENUE |
| City | SOUTH SALT LAKE |
| State | UT |
| ZIP | 84106 |
| Accounting period End | 12 |
| Primary contact name | BRUCE L OLSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MICHAEL BUCHANAN
BOARD CHAIR
556 EAST LELAND AVENUE
SALT LAKE CITY UT 84106
JILL RICHARDSON
PRESIDENT
556 EAST LELAND AVENUE
SOUTH SALT LAKE UT 84106
SETH BAILEY
VICE PRESIDENT
556 EAST LELAND AVENUE
SOUTH SALT LAKE UT 84106
LAUREN DOUBRAVA
SECRETARY TREASURER
556 EAST LELAND AVENUE
SOUTH SALT LAKE UT 84106
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/5/2021 |
| Organization Incorporation State | UT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M41 - First Aid Training, Services |
| Organization’s purpose | Charitable: Yes 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 | 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 | MICHAEL BUCHANAN |
| Signature Title | BOARD CHAIR |
| Signature Date | 5/14/2021 |
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