FORM 1023-EZ for OLYMPUS HIGH SCHOOL MOUNTAIN BIKE TEAM

Field Data
EIN 35-2620836
Case Number EO-2018095-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OLYMPUS HIGH SCHOOL MOUNTAIN BIKE TEAM
Organization’s Mailing Address 4210 S MORNING STAR DR
City SALT LAKE CITY
State UT
ZIP 84124
Accounting period End 12
Primary contact name CHRISTOPHER NELSON AUTH AGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN KAELBERER
DIRECTOR, PRESIDENT
4210 S MORNING STAR DR
SALT LAKE CITY UT 84124

Officer/Director/Trustee Two

MICHAEL FLITTON
DIRECTOR, TREASURER
4210 S MORNING STAR DR
SALT LAKE CITY UT 84124

Officer/Director/Trustee Three

KEVIN PFERDNER
DIRECTOR
4210 S MORNING STAR DR
SALT LAKE CITY UT 84124

Officer/Director/Trustee Four

GREG PETERSON
DIRECTOR, SECRETARY
4210 S MORNING STAR DR
SALT LAKE CITY UT 84124

Officer/Director/Trustee Five

KRIS LONGSON
DIRECTOR
4210 S MORNING STAR DR
SALT LAKE CITY UM 84124

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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 MICHAEL FLITTON
Signature Title DIRECTOR, TREASURER
Signature Date 3/21/18

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