FORM 1023-EZ for MY PAL S PLACE INC

Field Data
EIN 83-3386405
Case Number EO-2019053-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY PAL S PLACE INC
Organization’s Mailing Address 32 W 200 SOUTH 307
City SALT LAKE CITY
State UT
ZIP 84101
Accounting period End 12
Primary contact name JEFFREY S BREGLIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE LESKO
DIRECTOR
10674 S POPPY MEADOW LANE
SOUTH JORDAN UT 84009

Officer/Director/Trustee Two

SEAN LESKO
DIRECTOR
10674 S POPPY MEADOW LANE
SOUTH JORDAN UT 84009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 JAMIE LESKO
Signature Title DIRECTOR
Signature Date 2/20/19

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