FORM 1023-EZ for UTAH AVALANCHE 05

Field Data
EIN 83-1341235
Case Number EO-2018211-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UTAH AVALANCHE 05
Organization’s Mailing Address 6803 S 1540 E
City UINTAH
State UT
ZIP 84405
Accounting period End 12
Primary contact name MIKE DEGROOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE DEGROOT
DIRECTOR
6803 S 1540 E
UINTAH UT 84405

Officer/Director/Trustee Two

DIANNA DEGROOT
DIRECTOR
6803 S 1540 E
UINTAH UT 84405

Officer/Director/Trustee Three

ROBERT DEGROOT
DIRECTOR
4679 S 200 W
OGDEN UT 84405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MIKE DEGROOT
Signature Title DIRECTOR
Signature Date 7/26/18

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