FORM 1023-EZ for MYSTEPDAD ORG INC

Field Data
EIN 84-4778180
Case Number EO-2020260-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MYSTEPDAD ORG INC
Organization’s Mailing Address 465 WILDWOOD DR
City BRIGHAM CITY
State UT
ZIP 84302
Accounting period End 12
Primary contact name JAMES STEPHENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES STEPHENSON
DIRECTOR
465 WILDWOOD DR
BRIGHAM CITY UT 84302

Officer/Director/Trustee Two

PATRICIA LISTON
DIRECTOR
11493 MARCO POLO LN
SOUTH JORDAN UT 84095

Officer/Director/Trustee Three

PHILIP JAMES STENGER
DIRECTOR
199 W PARISH LN
CENTERVILLE UT 84014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O21 - Boys Clubs
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES STEPHENSON
Signature Title DIRECTOR
Signature Date 9/14/2020

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