FORM 1023-EZ for UINTAH BASIN VISUAL ARTS

Field Data
EIN 85-1083624
Case Number EO-2021152-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UINTAH BASIN VISUAL ARTS
Organization’s Mailing Address 549 W 200 S
City VERNAL
State UT
ZIP 84078
Accounting period End 12
Primary contact name LOUIS KAMLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS HATCH
VP AND DIRECTOR
7672 N INDIAN TRAIL RANCH ROAD
VERNAL UT 84078

Officer/Director/Trustee Two

LOUIS KAMLER
TREASURER AND DIRECTOR
549 W 200 S
VERNAL UT 84078

Officer/Director/Trustee Three

LYNNA KENDALL
GRANTS AND DIRECTOR
1805 W 1500 S
VERNAL UT 84078

Officer/Director/Trustee Four

DEENA MILLECAM
PRESIDENT AND DIRECTOR
3400 W 2500 N
VERNAL UT 84078

Officer/Director/Trustee Five

JEANNE NEWMAN
SECRETARY AND DIRECTOR
3148 S VERNAL AVE
VERNAL UT 84078

Organization’s website UBVA.ORG
Organization’s email LJKAMLER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A40 - Visual Arts Organizations
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 LOUIS KAMLER
Signature Title TREASURER AND DIRECTOR
Signature Date 5/27/2021

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