FORM 1023-EZ for ADVENTUREVET

Field Data
EIN 82-4746996
Case Number EO-2018130-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADVENTUREVET
Organization’s Mailing Address 375 S MAIN ST SUITE 115
City MOAB
State UT
ZIP 84532-2557
Accounting period End 12
Primary contact name SUSAN FREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN FREY
DIRECTOR
375 S MAIN ST SUITE 115
MOAB UT 84532-2557

Officer/Director/Trustee Two

DAVID FREY
DIRECTOR
375 S MAIN ST SUITE 115
MOAB UT 84532-2557

Officer/Director/Trustee Three

JACQUELINE MAHONEY
DIRECTOR
375 S MAIN ST SUITE 115
MOAB UT 84532-2557

Officer/Director/Trustee Four

KEITH HELFRICH
DIRECTOR
375 S MAIN ST SUITE 115
MOAB UT 84532-2557

Officer/Director/Trustee Five

MARK PATTISON
DIRECTOR
375 S MAIN ST SUITE 115
MOAB UT 84532-2557

Organization’s website ADVENTUREVET.ORG
Organization’s email DAVEFREY@ADVENTUREVET.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 SUSAN FREY
Signature Title DIRECTOR
Signature Date 5/7/18

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