FORM 1023-EZ for BEAVER AREA HEALTH CARE FOUNDATION

Field Data
EIN 74-2672504
Case Number EO-2015096-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEAVER AREA HEALTH CARE FOUNDATION
Organization’s Mailing Address 1109 N 100 W PO BOX 1670
City BEAVER
State UT
ZIP 84713-1670
Accounting period End 6
Primary contact name NICOLE BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CRAIG DAVIDSON
VICE-PRES
PO BOX 1670
BEAVER UT 84713-1670

Officer/Director/Trustee Two

PAUL NIELSON
PRESIDENT
1629 FLATROCK RD
ST GEORGE UT 84790

Officer/Director/Trustee Three

ROBERT LEE
TREASURER
PO BOX 558
BEAVER UT 84713

Officer/Director/Trustee Four

LEO KANELL
SECRETARY
PO BOX 692
BEAVER UT 84713

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/1992
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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