FORM 1023-EZ for DONT LEAVE INC

Field Data
EIN 85-0559409
Case Number EO-2020092-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DONT LEAVE INC
Organization’s Mailing Address 5492 S 900 E
City SALT LAKE CITY
State UT
ZIP 84117
Accounting period End 12
Primary contact name ANDREA NORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA NORD
DIRECTOR
5492 S 900 E
SALT LAKE CITY UT 84117

Officer/Director/Trustee Two

HEATHER GAY
DIRECTOR
5492 S 900 E
SALT LAKE CITY UT 84117

Officer/Director/Trustee Three

SCOTT ROBINSON
DIRECTOR
11806 BLYTHEWOOD ST
SAN ANTONIO TX 78249

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 HEATHER GAY
Signature Title DIRECTOR
Signature Date 3/30/2020

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