FORM 1023-EZ for PAGE-LAKE POWELL HUB INC

Field Data
EIN 84-3121734
Case Number EO-2019266-000526
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAGE-LAKE POWELL HUB INC
Organization’s Mailing Address PO BOX 727
City PAGE
State AZ
ZIP 86040
Accounting period End 12
Primary contact name BLAKE COMISH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT SWANK
PRESIDENT
PO BOX 727
PAGE AZ 86040

Officer/Director/Trustee Two

JOE LAPEKAS
VICE PRESIDENT
PO BOX 727
PAGE AZ 86040

Officer/Director/Trustee Three

BRIAN KELLAR
DIRECTOR
PO BOX 727
PAGE AZ 86040

Officer/Director/Trustee Four

SCOTT SEYLER
DIRECTOR
PO BOX 727
PAGE AZ 86040

Officer/Director/Trustee Five

TINA BECKWITH
DIRECTOR
PO BOX 727
PAGE AZ 86040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B02 - Management & Technical Assistance
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 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 SCOTT SWANK
Signature Title PRESIDENT
Signature Date 9/20/19

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