FORM 1023-EZ for ROOSEVELT SCOUTS

Field Data
EIN 84-4826307
Case Number EO-2021093-000389
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOSEVELT SCOUTS
Organization’s Mailing Address 2248 W 1000 N
City ROOSEVELT
State UT
ZIP 84066
Accounting period End 12
Primary contact name TREVOR WILKERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TREVOR WILKERSON
TRUSTEE
2248 W 1000 N - NORTH COVE ROAD
ROOSEVELT UT 84066

Officer/Director/Trustee Two

MARV PETERSON
DIRECTOR
PO BOX 760041
TRIDELL UT 84076

Officer/Director/Trustee Three

ELIZABETH PETERSON
DIRECTOR
PO BOX 760041
TRIDELL UT 84076

Organization’s website
Organization’s email TRWILKERST@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 TREVOR WILKERSON
Signature Title TRUSTEE
Signature Date 3/1/2021

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