FORM 1023-EZ for PAYSON CIVIC CHORALE

Field Data
EIN 20-3169329
Case Number EO-2018094-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAYSON CIVIC CHORALE
Organization’s Mailing Address 987E 370 S
City SANTAQUIN
State UT
ZIP 84655
Accounting period End 12
Primary contact name DAVID C DAHLQUIST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID C DAHLQUIST
FOUNDER/ MUSICAL DIRECTOR
PO BOX 381
PAYSON UT 84651-381

Officer/Director/Trustee Two

JENNIE RUTH ALVEY
PRESIDENT
987 E 370 S
SANTAQUIN UT 84655

Officer/Director/Trustee Three

BOB PROVSTGAARD
VICE PRESIDENT
199 N 200 W
PAYSON UT 84651

Officer/Director/Trustee Four

B J WRIGHT
VICE PRESIDENT
718 N 200 E
SPANISH FORK UT 84660

Officer/Director/Trustee Five

THERESA SKOUSEN
SECRETARY
630 E 770 S
PAYSON UT 84651

Organization’s website HTTP://WWW.PAYSONCHORALE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/05
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6B - Singing, Choral
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DAVID C DAHLQUIST
Signature Title FOUNDER/ MUSICAL DIRECTOR
Signature Date 4/2/18

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