FORM 1023-EZ for CHILDRENS LEUKEMIA HOPE FOUNDATION

Field Data
EIN 81-5268390
Case Number EO-2017150-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHILDRENS LEUKEMIA HOPE FOUNDATION
Organization’s Mailing Address 2138 E FALCON RIDGE DR
City DRAPER
State UT
ZIP 84020
Accounting period End 12
Primary contact name ANTHONY MAGLIOCCHINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JADEN JOHANNESSEN
DIRECTOR
1448 E BOB LN
SANDY UT 84092

Officer/Director/Trustee Two

JACOB OVERSON
DIRECTOR
1656 E LONGVIEW DR
PARK CITY UT 84036

Officer/Director/Trustee Three

JACK LETCHER
DIRECTOR
3116 MOUNTAIN RIDGE CT
PARK CITY UT 84060

Officer/Director/Trustee Four

ANTHONY MAGLIOCCHINO
OFFICER
2138 E FALCON RIDGE DR
DRAPER UT 84020

Officer/Director/Trustee Five

ZACK DANNINGER
OFFICER
59 SAINT MORITZ CR
PARK CITY UT 84098

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2017
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - 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 Yes
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 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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