FORM 1023-EZ for 2434 BUSH BASEBALL ORGANIZATION

Field Data
EIN 83-4476732
Case Number EO-2019119-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 2434 BUSH BASEBALL ORGANIZATION
Organization’s Mailing Address 2412 S ANDOVER ST
City WEST HAVEN
State UT
ZIP 84401
Accounting period End 12
Primary contact name MICHELLE S BUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE BUSH
PRESIDENT
2412 S ANDOVER ST
WEST HAVEN UT 84401

Officer/Director/Trustee Two

JASON BUSH
TRUSTEE
2412 S ANDOVER ST
WEST HAVEN UT 84401

Officer/Director/Trustee Three

DALLAS BUSH
TRUSTEE
2412 S ANDOVER ST
WEST HAVEN UT 84401

Officer/Director/Trustee Four

EMILY DURBIN
TREASURER
372 E 1000 S
NEPHI UT 84648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 MICHELLE BUSH
Signature Title PRESIDENT
Signature Date 4/26/19

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