FORM 1023-EZ for UTHRIV INC

Field Data
EIN 84-3981717
Case Number EO-2020057-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UTHRIV INC
Organization’s Mailing Address 14225 US HIGHWAY 1 STE 206
City JUNO BEACH
State FL
ZIP 33408
Accounting period End 12
Primary contact name GRACE AHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRACE AHN
PRESIDENT
14255 US HIGHWAY STE 206
JUNO BEACH FL 33408

Officer/Director/Trustee Two

SHERRI COATES
VICE PRESIDENT
929 CLAYTON AVE
NASHVILLE TN 32704

Officer/Director/Trustee Three

ATHENA POND
SECRETARY
2237 ARBOR POINTE WAY
HERMITAGE TN 37076

Officer/Director/Trustee Four

GRACE AHN
TREASURER
14255 US HIGHWAY STE 206
JUNO BEACH FL 33408

Officer/Director/Trustee Five

REX COLE
DIRECTOR
10652 PASO FINO DRIVE
WELLINGTON FL 33449

Organization’s website WWW.UTHRIV.ORG
Organization’s email GRACE@UTHRIV.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GRACE AHN
Signature Title TREASURER
Signature Date 2/24/2020

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