FORM 1023-EZ for STAR LIT BLADES SYNCHRONIZED SKATING

Field Data
EIN 46-4354443
Case Number EO-2015056-000119
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STAR LIT BLADES SYNCHRONIZED SKATING
Organization’s Mailing Address 721 E ENCHANTED DRIVE
City MIDVALE
State UT
ZIP 84047
Accounting period End 12
Primary contact name KRISTIN RAFFONE VAZQUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELHAM KARAMATI
PRESIDENT, TREASURER, TRUSTEE
721 ENCHANTED DRIVE
MIDVALE UT 84047

Officer/Director/Trustee Two

KRISTIN RAFFONE VAZQUEZ
SECRETARY, TRUSTEE
2825 COTTONWOOD PARKWAY STE 500
SLC UT 84121

Officer/Director/Trustee Three

KELLY CASSITY
TRUSTEE
1838 GOLD RUSH CIRCLE
WEST JORDAN UT 84084

Officer/Director/Trustee Four

JOHN VAL JENSEN
TRUSTEE
8059 RAPTOR COVE
SANDY UT 84094

Officer/Director/Trustee Five

MARK MINSON
TRUSTEE
10957 HYRUM PLACE
SANDY UT 84070

Organization’s website WWW.STARLITBLADESSYNCHRONIZEDSKATING.COM
Organization’s email STARLITBLADES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2013
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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
Signature Title
Signature Date

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