FORM 1023-EZ for THE WEST VALLEY ANIMAL PROJECT

Field Data
EIN 45-5084212
Case Number EO-2017039-000027
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE WEST VALLEY ANIMAL PROJECT
Organization’s Mailing Address 1776 PARE AVE STE 4 PMB 121
City PARK CITY
State UT
ZIP 84060-5149
Accounting period End 12
Primary contact name ROXANN JEPPESEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN PARRISH
PRESIDENT
2110 W 3860 S
WEST VALLEY CITY UT 84119-4732

Officer/Director/Trustee Two

MARY LOU EMERSON
SECRETARY
1453 WEST DUCK POND LANE
WEST VALLEY CITY UT 84123-5222

Officer/Director/Trustee Three

ROXANN JEPPESEN
OFFICER
1776 PARK AVE STE 4 PMB 121
PARK CITY UT 84060-5149

Officer/Director/Trustee Four

LINDSEY VORHEES
VICE PRESIDENT
4533 S 1300 W
TAYLORSVILLE UT 84123-5222

Officer/Director/Trustee Five

MARY RENDON
TREASURER
5228 W FARM STATION WAY
WEST VALLEY CITY UT 84120-2784

Organization’s website
Organization’s email WESTVALLEYANIMALPROJECT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2012
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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