FORM 1023-EZ for THE FALLEN BROTHERS FOUNDATION

Field Data
EIN 27-2805516
Case Number EO-2015323-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE FALLEN BROTHERS FOUNDATION
Organization’s Mailing Address 7022 WEST HUNTER DAWN WAY
City WEST VALLEY CITY
State UT
ZIP 84128
Accounting period End 12
Primary contact name BOYCE SANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARREN LEWIS
DIRECTOR
7022 WEST HUNTER DAWN WAY
WEST VALLEY CITY UT 84128

Officer/Director/Trustee Two

ALECIA LEWIS
DIRECTOR
7022 WEST HUNTER DAWN WAY
WEST VALLEY CITY UT 84128

Officer/Director/Trustee Three

KIM REILLY
DIRECTOR
8966 SOUTH 3020 WEST
WEST JORDAN UT 84088

Organization’s website THEFALLENBROTHERSFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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
Signature Title
Signature Date

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