FORM 1023-EZ for AMERICAN FORK POLICE FOUNDATION

Field Data
EIN 83-1147609
Case Number EO-2019066-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN FORK POLICE FOUNDATION
Organization’s Mailing Address 75 E 80 N
City AMERICAN FORK
State UT
ZIP 84003-1652
Accounting period End 12
Primary contact name ADAM SPENCER ELLISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN CHRISTENSEN
DIRECTOR/TREASURER
998 N 1200 W
OREM UT 84057-2813

Officer/Director/Trustee Two

ANTOINETTE JORGENSEN
DIRECTOR/PRESIDENT
486 E 620 N
AMERICAN FORK UT 84003-1858

Officer/Director/Trustee Three

JAMES BEVARD
DIRECTOR/SECRETARY
9871 N EAST CRIMSON CT
HIGHLAND UT 84003-3497

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 JONATHAN CHRISTENSEN
Signature Title DIRECTOR/TREASURER
Signature Date 3/5/19

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