FORM 1023-EZ for FAMILY MATTERS ADOPTIONS INC

Field Data
EIN 84-3228702
Case Number EO-2019305-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY MATTERS ADOPTIONS INC
Organization’s Mailing Address 5513 W 11000 N STE 532
City HIGHLAND
State UT
ZIP 84003
Accounting period End 12
Primary contact name PAUL K SAVAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL SAVAGE
DIRECTOR
5513 W 11000 N STE 3532
HIGHLAND UT 84003

Officer/Director/Trustee Two

DAN NEWBOLD
DIRECTOR
5513 W 11000 N STE 532
HIGHLAND UT 84003

Officer/Director/Trustee Three

DAVID PAYNE
DIRECTOR
5513 W 11000 N STE 532
HIGHLAND UT 84003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P31 - Adoption
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 PAUL SAVAGE
Signature Title DIRECTOR
Signature Date 10/30/19

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