FORM 1023-EZ for THE LIONS AND CUBS KIDS MMA FOUNDATION

Field Data
EIN 82-2225948
Case Number EO-2017205-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LIONS AND CUBS KIDS MMA FOUNDATION
Organization’s Mailing Address 886 E 220 N
City SALEM
State UT
ZIP 84653
Accounting period End 12
Primary contact name ERIC GURR CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANDLER PEARCE
DIRECTOR
886 E 220 N
SALEM UT 84653

Officer/Director/Trustee Two

JASON MIRTLETCH
DIRECTOR
1767 SPRING CREEK DRIVE
LEHI UT 84043

Officer/Director/Trustee Three

SHAR MIRTLETCH
DIRECTOR
1767 SPRING CREEK DRIVE
LEHI UT 84043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2017
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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