FORM 1023-EZ for CASTLE RIDGE BEHAVIORAL HEALTH CORP

Field Data
EIN 86-3084042
Case Number EO-2021104-000925
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CASTLE RIDGE BEHAVIORAL HEALTH CORP
Organization’s Mailing Address 65 EAST 100 NORTH
City CASTLE DALE
State UT
ZIP 84513
Accounting period End 12
Primary contact name DONN JEFFS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONN JEFFS
DIRECTOR
65 EAST 100 NORTH
CASTLE DALE UT 84513

Officer/Director/Trustee Two

JAMES JEFFS
DIRECTOR
65 EAST 100 NORTH
CASTLE DALE UT 84513

Officer/Director/Trustee Three

BLAYR BARTON
DIRECTOR
65 EAST 100 NORTH
CASTLE DALE UT 84513

Officer/Director/Trustee Four

JAMES BOWIE JEFFS
DIRECTOR
65 EAST 700 NORTH
CASTLE DALE UT 84513

Officer/Director/Trustee Five

DEMPSEY JEFFS
DIRECTOR
1985 S MAIN
OREM UT 84058

Organization’s website castleridge.org
Organization’s email jeffs@castleridge.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2021
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 DONN JEFFS
Signature Title DIRECTOR
Signature Date 4/12/2021

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