FORM 1023-EZ for CREATE REEL CHANGE

Field Data
EIN 81-3304685
Case Number EO-2016351-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREATE REEL CHANGE
Organization’s Mailing Address 536E 4050S
City SALT LAKE CITY
State UT
ZIP 84107
Accounting period End 4
Primary contact name BRIAN HIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN HIGGINS
EXECUTIVE DIRECTOR
536E 4050S
SALT LAKE CITY UT 84107

Officer/Director/Trustee Two

TOPHER HORMAN
CREATIVE CONSULTANT
916 E SIMPSON AVENUE
SALT LAKE CITY UT 84106

Officer/Director/Trustee Three

BLANE HEMMERT
BUSINESS CONSULTANT
10362 S MARTINGS DRIVE
SOUTH JORDAN UT 84009

Officer/Director/Trustee Four

MICHAEL SOLAREZ
DEVELOPMENT CONSULTANT
7968S 2550E
SOUTH WEBER UT 84405

Officer/Director/Trustee Five

MINDIE ADAMSON
TREASURER
1527E MADRID WAY
SANDY UT 84093

Organization’s website WWW.CREATEREELCHANGE.ORG
Organization’s email INFO@CREATEREELCHANGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2016
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
Organization’s purpose Charitable: No
Religious: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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