FORM 1023-EZ for AIKIDO MOUNTAIN WEST

Field Data
EIN 47-5350535
Case Number EO-2015313-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AIKIDO MOUNTAIN WEST
Organization’s Mailing Address 1411 S UTAH ST UNIT 12
City SALT LAKE CITY
State UT
ZIP 84104
Accounting period End 12
Primary contact name LINDA REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARRELL W BELKA
PRESIDENT, TRUSTEE
7343 MILNE LANE
MIDVALE UT 84047

Officer/Director/Trustee Two

SHAWN ELLINGSON
VICE-PRESIDENT, TRUSTEE
734 FOXHUNTER DR
FARMINGTON UT 84025

Officer/Director/Trustee Three

C MAX ROACH
SECRETARY, TRUSTEE
2015 S 500 W
SALT LAKE CITY UT 84105

Officer/Director/Trustee Four

LINDA REED
TREASURER, TRUSTEE
1411 S UTAH ST UNIT 12
SALT LAKE CITY UT 84104

Officer/Director/Trustee Five

FRANK KING
TRUSTEE
2839 WOODHOLLOW WAY
BOUNTIFUL UT 84010

Organization’s website
Organization’s email LINDAREED99@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2015
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 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 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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