FORM 1023-EZ for UTAH FLOORBALL ASSOCIATION

Field Data
EIN 83-4482416
Case Number EO-2019347-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UTAH FLOORBALL ASSOCIATION
Organization’s Mailing Address 2563 NORTH WALLACE WAY
City LEHI
State UT
ZIP 84043
Accounting period End 12
Primary contact name JYRI KOIVISTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JYRI KOIVISTO
DIRECTOR
2563 NORTH WALLACE WAY
LEHI UT 84043

Officer/Director/Trustee Two

RICH WILSON
DIRECTOR
1704 NORTH 1200 WEST
LEHI UT 84043

Officer/Director/Trustee Three

AMY LIECHTY
DIRECTOR
PO BOX 51155
PROVO UT 84605

Organization’s website UTAHFLOORBALL.COM
Organization’s email UTAHFLOORBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2019
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JYRI KOIVISTO
Signature Title DIRECTOR
Signature Date 12/10/2019

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