FORM 1023-EZ for BLUE PEAK ATHLETICS

Field Data
EIN 46-4830423
Case Number EO-2016252-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE PEAK ATHLETICS
Organization’s Mailing Address 1733 BLUE PEAK DRIVE
City TOOELE
State UT
ZIP 84074
Accounting period End 12
Primary contact name JASON R JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON JONES
DIRECTOR/TREASURER
1733 BLUE PEAK DR
TOOELE UT 84074

Officer/Director/Trustee Two

SHANE BRYANT
OFFICER
212 LAKEVIEW
STANSBURY PARK UT 84074

Officer/Director/Trustee Three

NATE WAYMAN
OFFICER
5256 CAMBRIDGE WAY
STANSBURY PARK UT 84074

Organization’s website
Organization’s email JAJONES325@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2014
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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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