FORM 1023-EZ for PAX NATURA FOUNDATIONDBA THE BOSQUE LLUVIOSO FOUNDATION

Field Data
EIN 87-0566041
Case Number EO-2014240-000556
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAX NATURA FOUNDATIONDBA THE BOSQUE LLUVIOSO FOUNDATION
Organization’s Mailing Address PO BOX 520022
City SALT LAKE CITY
State UT
ZIP 84152-0022
Accounting period End 12
Primary contact name RANDALL TOLPINRUD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RANDALL TOLPINRUD
PRESIDENT
3649 SOUTH PEARBLOSSOM CIRCLE
SALT LAKE CITY UT 84109

Officer/Director/Trustee Two

WILLIAM CONNELLY
VICE PRESIDENT
2400 SOUTH 2300 EAST
SALT LAKE CITY UT 84109

Officer/Director/Trustee Three

JERRY ROBINSON
SECRETARY/TREASURER
2299 SOUTH HIGHLAND DRIVE
SALT LAKE CITY UT 84106

Officer/Director/Trustee Four

STEVE ESTES
TRUSTEE
1124 3RD AVE
SALT LAKE CITY UT 84103

Officer/Director/Trustee Five

JEFF MIDDLETON
TRUSTEE
1124 3RD AVE
SALT LAKE CITY UT 84103

Organization’s website WWW.PAXNATURA.ORG
Organization’s email RANDALL@PAXNATURA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/1996
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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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