FORM 1023-EZ for UINTAH BASIN VETERANS ANNUAL GOLF TOURNAMENT

Field Data
EIN 83-1796126
Case Number EO-2018282-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UINTAH BASIN VETERANS ANNUAL GOLF TOURNAMENT
Organization’s Mailing Address 1584 SOUTH 1500 EAST PO BOX 1400
City VERNAL
State UT
ZIP 84078
Accounting period End 12
Primary contact name ROBIN DECOL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN DECOL
PRESIDENT
3953 NORTH DRYFORK
VERNAL UT 84078

Officer/Director/Trustee Two

CLAUDIA FLETCHER
SECRETARY TREASURER
235 NORTH 200 EAST
VERNAL UT 84078

Officer/Director/Trustee Three

DENNIS STEVENS
VICE PRESIDENT
968 WEST 1100 SOUTH
VERNAL UT 84078

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N6A - Golf
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 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 ROBIN DECOL
Signature Title PRESIDENT
Signature Date 10/5/18

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