FORM 1023-EZ for UTAHS FALLEN SERVICE MEMBERS

Field Data
EIN 36-4857115
Case Number EO-2017076-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UTAHS FALLEN SERVICE MEMBERS
Organization’s Mailing Address PO BOX 17118
City HOLLADAY
State UT
ZIP 84117
Accounting period End 12
Primary contact name ALEX CURTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN FAWSON
DIRECTOR/PRESIDENT
1205 E 2325 N
NORTH OGDEN UT 84414

Officer/Director/Trustee Two

JODI WILSON
DIRECTOR/SECRETARY
3442 W JOHNSON CREEK COVE
RIVERTON UT 84065

Officer/Director/Trustee Three

VAL PETERSON
DIRECTOR
528 W 1160 N
OREM UT 84057

Officer/Director/Trustee Four

PETER KNUDSON
DIRECTOR
1209 MICHELLE DRIVE
BRIGHAM CITY UT 84302

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2017
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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
Signature Title
Signature Date

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