FORM 1023-EZ for UTAH LOCAL RADIO

Field Data
EIN 81-2683797
Case Number EO-2016235-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UTAH LOCAL RADIO
Organization’s Mailing Address 3534 DUCATI WAY
City SAINT GEORGE
State UT
ZIP 84790-6313
Accounting period End 12
Primary contact name SHAWN DENEVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN DENEVAN
DIRECTOR
3534 DUCATI WAY
SAINT GEORGE UT 84790-6313

Officer/Director/Trustee Two

STEPHEN RADMALL
DIRECTOR
20 N MAIN SUITE 402
SAINT GEORGE UT 84770

Officer/Director/Trustee Three

TOM WAGNER
DIRECTOR
1705 W LAKOTA DR
SAINT GEORGE UT 84770

Organization’s website NA
Organization’s email SHAWN.DENEVAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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