FORM 1023-EZ for ATHENIANTECH

Field Data
EIN 83-2824333
Case Number EO-2019035-001057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATHENIANTECH
Organization’s Mailing Address 692 NORTH 350 WEST
City TOOELE
State UT
ZIP 84074
Accounting period End 12
Primary contact name DOMINIC SANTISTEVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOMINIC SANTISTEVAN
CHIEF EXECUTIVE OFFICER
692 NORTH 350 WEST
TOOELE UT 84074

Officer/Director/Trustee Two

DAWN SHARP
CHIEF FINANCIAL OFFICER
56 EAST 100 SOUTH
TOOELE UT 84074

Officer/Director/Trustee Three

KAYLEE MORRIS
CHIEF VISIONARY OFFICER
963 WEST 470 SOUTH
TOOELE UT 84074

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W02 - Management & Technical Assistance
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 Yes
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 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 DOMINIC SANTISTEVAN
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 1/15/19

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