FORM 1023-EZ for RUSTLER LODGE FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-2300319 |
| Case Number | EO-2016118-000137 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | RUSTLER LODGE FOUNDATION |
| Organization’s Mailing Address | 10380 EAST HIGHWAY 210 |
| City | ALTA |
| State | UT |
| ZIP | 84092-8030 |
| Accounting period End | 4 |
| Primary contact name | ROSS L YOUNGBERG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
JEFFREY ANDERSON
DIRECTOR
10380 EAST HIGHWAY 210
ALTA UT 84092-8030
Officer/Director/Trustee Two
BRADFORD DEBRY
DIRECTOR
4252 SOUTH 700 EAST
SALT LAKE CITY UT 84107
Officer/Director/Trustee Three
ROSS YOUNGBERG
DIRECTOR
24 BOULTON WAY
BOUNTIFUL UT 84010
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/23/2015 |
| Organization Incorporation State | UT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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