FORM 1023-EZ for HOUSING SERVICES OF UTAH VALLEY

Field Data
EIN 87-0498983
Case Number EO-2015079-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSING SERVICES OF UTAH VALLEY
Organization’s Mailing Address 167 SOUTH 530 WEST
City LINDON
State UT
ZIP 84042
Accounting period End 12
Primary contact name RENAE BRERETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WARREN BLOSIL
DIRECTOR
167 SOUTH 530 WEST
LINDON UT 84042

Officer/Director/Trustee Two

GENE CARLY
DIRECTOR
167 SOUTH 530 WEST
LINDON UT 84042

Officer/Director/Trustee Three

BILL FAIRBANKS
PRESIDENT
167 SOUTH 530 WEST
LINDON UT 84042

Officer/Director/Trustee Four

RENAE BRERETON
EXECUTIVE DIRECTOR
167 SOUTH 530 WEST
LINDON UT 84042

Officer/Director/Trustee Five

KIM BUNKER
TREASURER
167 SOUTH 530 WEST
LINDON UT 84042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/1992
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 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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