FORM 1023-EZ for NORTHERN UTAH AUTISM FOUNDATION INC

Field Data
EIN 82-4620823
Case Number EO-2018068-000304
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN UTAH AUTISM FOUNDATION INC
Organization’s Mailing Address 3015 TYLER AVE
City OGDEN
State UT
ZIP 84403
Accounting period End 12
Primary contact name NED WALLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NED WALLIS
CHAIRMAN
3015 TYLER AVE
OGDEN UT 84403

Officer/Director/Trustee Two

MELANIE WALLIS
DIRECTOR
3015 TYLER AVE
OGDEN UT 84403

Officer/Director/Trustee Three

ROBERT WALLIS
DIRECTOR
1378 E 5800 S
OGDEN UT 84405

Officer/Director/Trustee Four

ERIN WALLIS
DIRECTOR
1378 E 5800 S
OGDEN UT 84403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/16
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 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 NED WALLIS
Signature Title CHAIRMAN
Signature Date 3/7/18

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