FORM 1023-EZ for GCI FOUNDATION

Field Data
EIN 46-4347595
Case Number EO-2014279-000426
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GCI FOUNDATION
Organization’s Mailing Address 514 LOFTY LN
City NORTH SALT LAKE
State UT
ZIP 84054
Accounting period End 12
Primary contact name MANJIRI SHARMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MANJIRI SHARMA
TRUSTEE
514 LOFTY LN
NORTH SALT LAKE UT 84054

Officer/Director/Trustee Two

AISHWARYA SHARMA
TRUSTEE
514 LOFTY LN
NORTH SALT LAKE UT 84054

Officer/Director/Trustee Three

JESSICA SHARMA
TRUSTEE
514 LOFTY LN
NORTH SALT LAKE UT 84054

Officer/Director/Trustee Four

GARY PETERSEN
DIRECTOR
1689 EAST 1400 SOUTH STE 100
CLEARFIELD UT 84015

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2013
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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
Signature Title
Signature Date

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