FORM 1023-EZ for SEVIER VALLEY YOUTH REFUGE

Field Data
EIN 84-2331215
Case Number EO-2020029-000451
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEVIER VALLEY YOUTH REFUGE
Organization’s Mailing Address 104 N MAIN
City RICHFIELD
State UT
ZIP 84701
Accounting period End 12
Primary contact name RYAN SHADDIX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN M SHADDIX
PRESIDENT
475 N 300 W
RICHFIELD UT 84701

Officer/Director/Trustee Two

SARA M SHADDIX
SECRETARY
475 N 300 W
RICHFIELD UT 84701

Officer/Director/Trustee Three

TAYLOR J FARNESI
TREASURER
209 E 100 S
RICHFIELD UT 84701

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RYAN M SHADDIX
Signature Title PRESIDENT
Signature Date 1/27/2020

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