FORM 1023-EZ for WHEELIN JAZZ

Field Data
EIN 46-5607914
Case Number EO-2014262-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHEELIN JAZZ
Organization’s Mailing Address 7255 S SWAN HILL CT
City WEST JORDAN
State UT
ZIP 84081
Accounting period End 12
Primary contact name JEFF GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFF GRIFFIN
DIRECTOR
7255 S SWAN HILL DR
WEST JORDAN UT 84081

Officer/Director/Trustee Two

MIKE SCHLAPPI
DIRECTOR
641 EAST PHEASANT HAVEN CT
DRAPER UT 84020

Officer/Director/Trustee Three

RODNEY NEIMAN
DIRECTOR
435 SOUTH 1430 WEST
LEHI UT 84043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2014
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 Yes
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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