FORM 1023-EZ for CAREGIVERS JOURNAL

Field Data
EIN 83-1716391
Case Number EO-2018243-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAREGIVERS JOURNAL
Organization’s Mailing Address 925 DONNER WAY SUITE 2500
City SALT LAKE CTIY
State UT
ZIP 84108
Accounting period End 12
Primary contact name JOHN R RUPPEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN RUPPEL
DIRECTOR
925 DONNER WAY SUITE 2500
SALT LAKE CITY UT 84108

Officer/Director/Trustee Two

BRADLEY BAKER
DIRECTOR
3698 E MILLCREEK CANYON ROAD
SALT LAKE CTIY UT 84108-2295

Officer/Director/Trustee Three

PATRICIA MORTON
DIRECTOR
10 SOUTH 2000 EAST
SALT LAKE CTIY UT 84108

Officer/Director/Trustee Four

WILLIAM NELSON
DIRECTOR
3021 SHAKESPEARE PLACE
SALT LAKE CITY UT 84158

Officer/Director/Trustee Five

J HOWARD VANBOERUM
DIRECTOR
3014 DICKENS PLACE
SALT LAKE CITY UT 84108

Organization’s website WWW.CAREGIVERSJOURNAL.WIXSITE.COM/CAREGIVERSJOURNAL
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
Organization’s purpose Charitable: No
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 No
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN RUPPEL
Signature Title DIRECTOR
Signature Date 8/29/18

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