FORM 1023-EZ for UTAH RESPITE FOUNDATION

Field Data
EIN 86-3359526
Case Number EO-2021112-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UTAH RESPITE FOUNDATION
Organization’s Mailing Address 910 W STATE ST SUITE 3
City LEHI
State UT
ZIP 84043
Accounting period End 12
Primary contact name WIL BANGERTER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY CREAGER
PRESIDENT
2749 S GRASS VALLEY DR
ST GEORGE UT 84790

Officer/Director/Trustee Two

DEVON MILLINGTON
VICE PRESIDENT
4351 W 1850 N
LEHI UT 84043

Officer/Director/Trustee Three

AARON JONES
VICE PRESIDENT
35 N 400 W
HYRUM UT 84319

Officer/Director/Trustee Four

COLE MORLEY
VICE PRESIDENT
589 W LAKEVIEW DR
LEHI UT 84043

Officer/Director/Trustee Five

JAMES SULLIVAN
TREASURER AND SECRETARY
7152 N MOHICAN DR
EAGLE MOUNTAIN UT 84005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2021
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 Yes
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 JEREMY CREAGER
Signature Title PRESIDENT
Signature Date 4/20/2021

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