FORM 1023-EZ for UNITYINTHECOMMUNITY

Field Data
EIN 81-2706848
Case Number EO-2016146-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITYINTHECOMMUNITY
Organization’s Mailing Address 7983 SOUTH GRANT STREET
City MIDVALE
State UT
ZIP 84047
Accounting period End 12
Primary contact name ANNETTE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNETTE MILLER
PRESIDENT DIRECTOR
7983 SOUTH GRANT
MIDVALE UT 84047

Officer/Director/Trustee Two

FRED BRUNSVIK
DIRECTOR VICE PRESIDENT
1059 EAST EMERSON AVENUE
SALT LAKE CITY UT 84105

Officer/Director/Trustee Three

DENNIS ENGLE
DIRECTOR 2ND VICE PRESIDENT
1019 EAST WILSON AVENUE
SALT LAKE CITY UT 84105

Officer/Director/Trustee Four

TOM MILLER
TREASURER
7983 SOUTH GRANT STREET
MIDVALE UT 84047

Officer/Director/Trustee Five

DEBI PETERSEN
SECRETARY
758 LINDY DRIVE
MIDVALE UT 84047

Organization’s website
Organization’s email ANNETTE@UNITYINTHECOMMUNITY.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2016
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 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
Signature Title
Signature Date

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