FORM 1023-EZ for PEREGRINE HOUSE LITERACY PROJECT

Field Data
EIN 85-2390682
Case Number EO-2020237-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEREGRINE HOUSE LITERACY PROJECT
Organization’s Mailing Address 4329 PENTENWELL LANE
City SOUTH JORDAN
State UT
ZIP 84009-5722
Accounting period End 12
Primary contact name KATHERINE MCLAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA ANG OSBORN
DIRECTOR/INCORPORATOR
4329 PENTENWELL LANE
SOUTH JORDAN UT 84009-5722

Officer/Director/Trustee Two

EMILY DYER BARKER
DIRECTOR
1041 W ROOFTOP DRIVE
MIDVALE UT 84047-4805

Officer/Director/Trustee Three

AMANDA GARCIA BROWN
DIRECTOR
4308 PENTENWELL LANE
SOUTH JORDAN UT 84009-5722

Officer/Director/Trustee Four

MICHELLE MCFARLANE
DIRECTOR
930 SOUTH 1200 EAST
SALT LAKE CITY UT 84105-1523

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 SANDRA ANG OSBORN
Signature Title DIRECTOR/INCORPORATOR
Signature Date 8/20/2020

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