FORM 1023-EZ for UTAH ACADEMY OF FAMILY PHYSICIANS FOUNDATION
| Field | Data |
|---|---|
| EIN | 46-4896627 |
| Case Number | EO-2015035-000327 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | UTAH ACADEMY OF FAMILY PHYSICIANS FOUNDATION |
| Organization’s Mailing Address | 375 CHIPETA WAY SUITE A |
| City | SALT LAKE CITY |
| State | UT |
| ZIP | 84108-1261 |
| Accounting period End | 6 |
| Primary contact name | JENNIFER DAILEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
MARC BABITZ
BOARD MEMBER
2929 E DANISH BROOK CIR
SALT LAKE CITY UT 84121-5779
Officer/Director/Trustee Two
FRANK BROWN
BOARD MEMBER
2400 N 400 EAST
OGDNE UT 84414-7233
Officer/Director/Trustee Three
DAVE GRYGLA
BOARD MEMBER
1558 E 1800 SOUTH
ST GEORGE UT 84790
Officer/Director/Trustee Four
JENNIFER DAILEY
BOARD MEMBER
660 12TH AVENUE
SALT LAKE CITY UT 84103
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/4/2014 |
| Organization Incorporation State | UT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: No 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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