FORM 1023-EZ for MORMON LIT LAB INC

Field Data
EIN 85-2517091
Case Number EO-2020268-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MORMON LIT LAB INC
Organization’s Mailing Address 410 S 300 E
City AMERICAN FORK
State UT
ZIP 84003
Accounting period End 12
Primary contact name TROY KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES GOLDBERG
PRESIDENT
410 S 300 E
AMERICAN FORK UT 84003

Officer/Director/Trustee Two

NICOLE GOLDBERG
TREASURER
410 S 300 E
AMERICAN FORK UT 84003

Officer/Director/Trustee Three

MERRIJANE RICE
SECRETARY
273 WESTERN DRIVE
KAYSVILLE UT 84037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2019
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A26 - Arts Council/Agency
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 JAMES GOLDBERG
Signature Title PRESIDENT
Signature Date 9/22/2020

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