FORM 1023-EZ for UTAH DOMESTIC VIOLENCE LEGAL SERVICES

Field Data
EIN 83-4139851
Case Number EO-2019092-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UTAH DOMESTIC VIOLENCE LEGAL SERVICES
Organization’s Mailing Address 379 EAST 760 NORTH
City OREM
State UT
ZIP 84057
Accounting period End 12
Primary contact name BRANDON MERRILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON MERRILL
INCORPORATOR
379 EAST 760 NORTH
OREM UT 84057

Officer/Director/Trustee Two

BRANDON MERRILL
DIRECTOR
379 EAST 760 NORTH
OREM UT 84057

Officer/Director/Trustee Three

BRANDON MERRILL
TRUSTEE
379 EAST 760 NORTH
OREM UT 84057

Officer/Director/Trustee Four

ROBERT MERRILL
TRUSTEE
1773 EAST 70 SOUTH
HEBER UT 84032

Officer/Director/Trustee Five

MICHELLE BARNES
TRUSTEE
1951 EAST 4675 SOUTH
HOLLADAY UT 84117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I80 - Legal Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
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 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 BRANDON MERRILL
Signature Title TRUSTEE
Signature Date 3/28/19

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