FORM 1023-EZ for MILLCREEK PONY BASEBALL

Field Data
EIN 81-1603589
Case Number EO-2016092-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLCREEK PONY BASEBALL
Organization’s Mailing Address 2757 EAST 3600 SOUTH
City SALT LAKE CITY
State UT
ZIP 84109-3546
Accounting period End 12
Primary contact name GARY BROADBENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY BROADBENT
PRESIDENT
2757 EAST 3600 SOUTH
SALT LAKE CITY UT 84109-3546

Officer/Director/Trustee Two

TODD CALVERT
VICE PRESIDENT
3666 KIMBARY WAY
SALT LAKE CITY UT 84109-3546

Officer/Director/Trustee Three

SARAH CLAYTON
SECRETARY
2995 DELSA DRIVE
SALT LAKE CITY UT 84124

Officer/Director/Trustee Four

MARGERY UNGRICHT
TREASURER
3579 SOUTH 2700 EAST
SALT LAKE CITY UT 84109-3546

Officer/Director/Trustee Five

JARED PERRY
OFFICER
4616 WEST VIEW DRIVE
SALT LAKE CITY UT 84109-3546

Organization’s website
Organization’s email MILLCREEK.PONY.BASEBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2016
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 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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