FORM 1023-EZ for ST GEORGE DIXIE ELKS CHARITABLE FOUNDATION

Field Data
EIN 87-0653666
Case Number EO-2017184-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST GEORGE DIXIE ELKS CHARITABLE FOUNDATION
Organization’s Mailing Address 710 SO INDIAN HILLS DR APT 73
City ST GEORGE
State UT
ZIP 84770
Accounting period End 12
Primary contact name THOMAS AUFFHAMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS AUFFHAMMER
PRESIDENT
710 S INDIAN HILLS DR APT 73
ST GEORGE UT 84770

Officer/Director/Trustee Two

CHARMAIN OMARA
TREASURER
368 E 860 N
HURRICANE UT 84737

Officer/Director/Trustee Three

GARRY GAUTHIER
VICE PRESIDENT
2677 SAN MARCUS CIRCLE
ST GEORGE UT 84770

Officer/Director/Trustee Four

BETTY ARCHAMBAULT
TRUSTEE
2132 W 1140 N
ST GEORGE UT 84770

Officer/Director/Trustee Five

LANCE WRIGHT
TRUSTEE
2814 E PARADISE WAY
ST GEORGE UT 84790

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/1999
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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