| Field | Data |
|---|---|
| EIN | 86-2622450 |
| Case Number | EO-2021109-000658 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACK PHYSICIANS OF UTAH |
| Organization’s Mailing Address | 1065 BIRDIE CIRCLE |
| City | NORTH SALT LAKE |
| State | UT |
| ZIP | 84054 |
| Accounting period End | 12 |
| Primary contact name | RICHARD FERGUSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
WHITNEY WHITE
TRUSTEE
1065 BIRDIE CIRCLE
NORTH SALT LAKE UT 84054
NCHOPIA NWOKOMA
DIRECTOR
12112 VISTA OAK BLVD
BURLESON TX 76028
RICHARD FERGUSON
DIRECTOR
1065 BIRDIE CIRCLE
NORTH SALT LAKE UT 84054
JESSICA JONES
VICE PRESIDENT
2608 W CENTRAL PARK WAY
TAYLORSVILLE UT 84129-1501
| Organization’s website | |
|---|---|
| Organization’s email | INFO@BPOU.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/15/2021 |
| Organization Incorporation State | UT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - Professional Societies, Associations |
| 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 | RICHARD FERGUSON |
| Signature Title | DIRECTOR |
| Signature Date | 4/16/2021 |
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