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    Application for Exemption Form 1023 - The Salt Lake Tribune, Inc. - Submitted 5-30-2019 (1)

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    Application for Exemption Form 1023 - The Salt Lake Tribune, Inc. - Submitted 5-30-2019 (1)

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    367 views64 pages

    Form 1023

    Uploaded by

    The Salt Lake Tribune
    Application for Exemption Form 1023 - The Salt Lake Tribune, Inc. - Submitted 5-30-2019 (1)

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    apn Orel, Chartarea {pe Tharas Cele, NW, Sut 1100 Pingte, 20008 ‘mb 000 20-1282 Fax wap com 202-862-7866 Direct mmbiss@capdale.com CaplinGxDrystle May 30, 2019 VIA EXPRE! ALL Internal Revenue Service Attention: EO Determination Letters Stop 31 201 West Rivercenter Boulevard Covington, KY 41011 Re: — Exemption Application — Form 1023 The Salt Lake Tribune, Inc. ~ EIN: 84-1878709 Dear Sir or Madam: On behalf of The Salt Lake Tribune, Inc. I enclose an application for recognition of exempt status under section 501(c)(3) of the Code. I have enclosed IRS Form 1023 and its supporting exhibits. I have also enclosed Form 2848, authorizing me to represent the organization, a check for $600 to cover the user fee, and the Form 1023 checklist. Tam happy to answer any questions that arise as you consider this request. Please feel free to contact me directly at (202) 862-7866. Thank you for your prompt assistance with this matter. Sincerely, Map Bin Meghan R. Biss Enclosures: As stated FORM 1023 CHECKLIST Form 1023 Checklist (Revised December 2017) Application for Recognition of Exemption under Section 501(c)(3) of the Internal Revenue Code Not : Retain a copy of the completed Form 1023 in your permanent records. Refer to the General Instructions regarding Public Inspection of approved applications. Check each box to finish your application (Form 1023). Send this completed Checklist with your filed-in application. you have not answered all the ems below, your application may be returned to you as. Incomplete. ‘Assemble the application and materials in this order. + Form 1023 Checklist + Form 2848, Power of Attorney and Declaration of Representative (fling) + Form 8821, Tax Information Authorization (i fling) * Expedite request (if requesting) * Application (Form 1023 and Schedules A through H, as required) * Articles of organization ‘+ Amendments to articles of organization in chronological orcier + Bylaws or other rules of operation and amendments + Documentation of nondiscriminatory policy for schools, as required by Schedule B + Form 5768, Election/Revocation of Election by an Eligible Section 501(c)) Organization To Make Expenditures To Influence Legislation (fling) + All other attachments, including explanations, financial data, and printed materials or publications, Label each page with’name and EIN. User fee payment placed in envelope on top of checklist, DO NOT STAPLE or otherwise attach your check or money order to your application. instead, just place it in the envelope. Employer Identification Number (EIN) Completed Parts | through XI of the application, including any requested information and any required Schedules A through H. + You must provide specific details about your past, present, and planned activities * Generalizations or failure to answer questions in the Form 1023 application will prevent us from recognizing you as tax exempt. ‘+ Describe your purposes and proposed activities in specific easily understood terms. ‘ Financial information should correspond with proposed activities. ‘Schedules. Submit only those schedules that apply to you and check either “Yes” or “No” below, Schedule A Yes _ No ScheduleE Yes __ Nov Schedule B Yes _ Nov ScheduleF Yes _ Nov Schedule Yes _ No ScheduloG Yes ¥ No Schedule D Yes _ No ScheduleH Yes _ No ¥ D_Anexact copy of your complete articles of organization (creating document), Absence of the proper purpose {and dissolution clauses is the number one reason for delays in the issuance of determination letters, * Location of Purpose Clause from Part Il, line 1 (Page, Article and Paragraph Number). 1, + Location of Dissolution Clause from Part Il, line 2b or 2c (Page, Article and Paragraph Number) or by ‘operation of state law Page 5, Article X Signature of an officer, director, trustee, or other official who is authorized to sign the application, * Signature at Part XI of Form 1023. [Your name on the application must be the same as your lagal name as it appears in your articles of organization, Send completed Form 1023, user fee payment, and all other required information, to: Internal Revenue Service ‘Attention: EO Determination Letters Stop 31 P.O. Box 12192 Covington, KY 41012-0192 If you are using express mail ora delivery service, send Form 1023, user fee payment, and attachments to: Internal Revenue Service Attention: EO Determination Letters ‘Stop 31 201 West Rivercenter Boulevard Covington, KY 41011 tt, Para. 8 FORM 2848 anne seam ron 2848 Power of Attorney =a feo 28 and Declaration of Representative nr er > Go tosnciegorfomatf er hersctone adhe tart rman to LEN Power oraomey Two Canton Atoparte Porm 2848 ust be competed fr asc taxpayer. Fo 248 wat eenered | roo foany rues er han represen tere he x ER oe Tea mnener Tan Goan) eat a 90S. 400 West, #700 1878700. 5 anes, 0 a aS a om. 25.002 iereby appara th Yolouing represenatvet) as alarneyehi-fack 2 _ Reprsentative(s mus sign and date this form on page 2, Par I Tame wc acres CaF Ne PON pouaaaaas Douglas, Vasey Calin & Drysete Cn 1'Thomas hee hSute NOD Tele Ni washington. De 20008 Fox o Check tobe sent copies otros and communications [2]_|_ceckif new: Acdess are wed acess APN. PON Meghan Ris, Capi orysdale cht oa % = 1'FRomas ise Sate $00 Tele a. Wasnington,O€ 20008 Fano. GH 40801 Checkftobe sent copies ofnaice and communications [| chackitnow:Aacrest ET Name ana acres AF TN Amanda €, Road, Caplin & Orysle, Cia 4 Thomas Cirle tw Sute 1900 Tesehon ia, Washington,DC 20c0s Foxe. Not: sends notes ed communicators to cly we rpseniatnes) | Check new: Adress Name and adress cari : PN a Fox No iphone Ne CY Fae. (Mote: sends notices and communiatons to only two reprgoniaves) | Check: new: Adoress To represent the taxpayer before the Ineral Revere Sewice and perorm te Towing acs 8 Acts auhortzed (you ar required o completo ts lin Wit the excepton of he acs cascrbd in ne Sb, author my represents to reco snd inspect my comida tax ineraton and to perfor acts hat an poor wh expect foto tx ates described blow Fer exarl, ropes) shal have the story to any agreerents, consents or inlay docuans te instctions fr ine Sao auharing a eprsertatn to sn ae) Deseo of Mater Enea Eloyart, Payal Exc, Eat GN, Vieteblowr Tax Form Number Year(s) or Peds) if epeteebe) Praconer Opto, PLR, FOU, Paral, Sec. SODA Shed espa) | yg nae scanne Payor Sec sei wed fuonorabty Payer. econ tetccmm)” | 040,941,720 ot) app (see instructions) [Application for Tax Exempt Stat Form 1023, affirmation tater 2ot9 2022 “4 Specific use not recorded on Centralized Authorization File (CAF). the power ofatomay efor _chock this box. See the insvuctons for Line &. Specific Use Not Recorded on CAF 78 Addon acs authorize. In adtion othe acts ised on re’ above, |utorzn my ropreoratl)oporom e olbwig acs eo Instruction for tne $e for more information): L] Access my IS rocerd va an Intermeciate Service Prvid Clauthorze disciosure to third partes; Cl Substitute aad representatives C] Signa return; [Other acts authorized: Discussion with IRS reqarding acrouNt on EOBIVE, updating information to the RS, taining tax exempt talus aflrmation later rar te IRS, For Privacy Act and Paperwork Reduction Act Notice see the Instructions, ‘GaN, BBD Pom BBA fies Te om 2688 Rv. 12018) Page 2 'b Specific dcts not authorized. My reprossntatve() is ar) not auhorized to endorse or othenvise negotiate any check (ncdig vectng oF sccepting payment by any means, electronic or otherwise, into an account owned or convalia by the representatives) rary fem or other entity wit whom the representative) is (re) associate) issued by the government in espact of a federal tex habit, List any olher specific deletions to the acts otherwise authorized in this power ofattomey (ee instructions for ine Sb) _Retentiori/revocation of prior power(s) of attomey. The fling of this power of attmey automatically revokes ali earer powerts) of attomey on ie with the internal Revenue Service forthe same matters and years or periods covered by this document, I you to not want to revoke a prior power of sttomey, check here >o YOU MUST ATTACH A COPY OF ANY POWER OF ATTORNEY YOU WANT TO REMAIN IN EFFECT. separate power of attomey 7 Signature of taxpayer. Ifa tax matter concer a year In which a joint return wes fled, each spouse must fi even if they are appointing the same representative(s). If signed by a corporate officer, perner, quardan, tax matters partner, partnership representative, executor, receiver, administrator, or tustee on behalf ofthe taxpayer, catty that | nave the legal authority fo execute this form on behalf of the taxpayer > IF NOT COMPLETED, SIGNED, AND DATED, THE IRS WILL RETURN THIS POWER OF ATTORNEY TO THE TAXPAYER. at Signature” mate [ZI Deciaration of Representative Under peas of pry, by my grate below | decors a + lam not eure suspended odebared trom practice onal for practice, bore the eral Reverue See + am subject to eoutonscontnadin Crovar 22031 CFR, Subtle A, Par 10), s amended overrng practice berth teal Rovenwe Sen + am authored fo represent the taxpayer eri in Par fr the matter) sect there ane Tlamone ote foung 2 tomy member a good sanding fhe ba ofthe highest cout othe juin shown below © Cored Puble Accourtant~ahador of an scive lente opacice a. cred public accourtantin te justo shown below € Erroled Ageit—enroled as an agent by the Intemal Revenue Service per the requirements ef Cirular 230, 4 Offcer—a bona de ocr te txbayererganzatn, ' ° Ful-Time Employee fulltime employee ofthe taxpayer Family Memoer—a member ofthe taxpayer's immediate fanly (spouse, paren, chia, grandparent, grandchild, step-parent, steph, brother, or sister Enrolled Actyary—enroles as an actuary by the Joint Board forthe Enrolment of Actuaries under 29 U.S.C. 1242 (the authority to bracice before the Interal Revenue Service is limited by section 10.3(6) of Crular 230), 2 hh Unenrollad Return Preparer Authority to practice before the IRSis fined. An unenraled retum preparer may represent, provided the prepare (1) 'rapared and signed the return or claim for refund (o prepsred if there fs no signature space onthe frm); (2) wae eligibie to sign te return oF aim for refupa; has a valid PTIN; and (4) possesses the requiad oval Filng Season Program Record of Completion(s, See Special Rules ‘and Requirements for Unenrolled Return Preparers inthe instructions for additional information, Qualtying Student— receives permission to represent taxpayers before the IRS by Virtue of hier etatue as a la, business, or accounting student ‘Working in an LITC or STCP. See instructions for Part for adetonal formation and requirements Enrolled Retifement Plan Agent—envolled as a retirement plan agent under the requirements of Circular 230 (the authovity to practi before the Internal Revetue Service is limited by section 10.3), : > IF THIS DECLARATION OF REPRESENTATIVE IS NOT COMPLETED, SIGNED, AND DATED, THE IRS WILL RETURN THE POWER OF ATTORNEY. REPRESENTATIVES MUST SIGN IN THE ORDER LISTED IN PART I, LINE 2. "Note: For designafions d-, enter your tite, postion, o*relationshipto the taxpayer in the ‘Licensing jurisdiction” colurmn, Te Desigaton = Tanabe | Satoh | egret erence Sone baie letter (a-t). 7 number {if applicable) . ‘@epptcabi a oe 459872 LZ; PZUZLA . oo 002518 fi Ben s/aofa . os ae | Atel a> 5/20 2014 Form 2848 fev. 2018) FORM 1023 1023 Application for Recognition of Exemption ua i.e. 086 rm Under Section 501(c)(3) of the Internal Revenue Code ‘Notes Waxernpt status ie Kecteee2tn | se not enter sci secury numbers oni om oi maybe mae ub ae eae Peet ee > cote wise genomes or musta an the ate eration, fas Use the instructions to complete this application and fora definition of al bold items. For adcitonal hep, call IRS Exempt Organizations Customer Account Sarvces tol-roe at 1-877-829-5500, Viet our website at wwvwr.irs.gov for forms and. publications. if the required information and documents are not submitted with payment ofthe appropriate user fee, the application may be retumed toyou. ‘Attach additional sheets to this application it you need more space to answer fully. Put your name and EIN on each sheet and identity each answer by Part and line number. Complete Parts |= Xlof Form 1023 and submit only those Schedules (A through H) that apply to you. Identification of Applicant 1 Fullname of organization [exactly as T appears in you organizing document) [2 c/o Name (f applioable) ‘The Salt Lake Tribune, Ine. ‘3 Malling address (Numbor and seo) (soo instructions) Roomi/Suite | 4 Employer lentfeation Number CN} 90 S. 100 West 700 .1878709 City or town, state oF country, and ZIP + ‘Write annul accountng pad ends 01-2) Salt Lako City, ur 84101 aa ‘6 Primary contact (fice, director, rustee, of authorized representative) aName b_ Phone: Meghan R. Biss, Caplin & Drysite, Che, authorized representative © Fax: (optional) 7 Are you represented by an authorized representative, such as an attorney or accountant? IF "Yes," provide the authorized representative's name, and the nama and address of the authorized representative's firm. Include a completed Form 2848, Power of Attorey and Declaration of Representative, with your application i you would lke us to communicate with your representative. 8 Was @ person who is not one of your officers, directors, trustees, employees, or an authorized [] Yes (7) No representative listed inline 7, pad, or promised payment, #0 help plan, manage, or advise you about the structure or activities of your organization, or about your financial or tax matters? "Yes," provide the person's name, the name and address of the person's fm, the amounts paid or promised to be pald, and describe that person's role. a Organization's website b_ Organization's email: (optional) 70 Ceriain organizations are not required to fe an information retum (Form G00 or Form 800-E2), you LJ Yes [zl Ne are granted tax-exemption, are you claiming to be excused from fllng Form 990 or Form 980-E2? If "Yes," explain. See the instructions for a description of organizations not required to file Form 880 or Form 990-E2, TT Date Torporated Ta corporation, or Tored, Father an a corporation ——(UM/ODIYYYY) os 7 aT “12 Were you formed undar the laws ofa foreign country? — Yes "es," state the country. For Paperwork Reduction Act Notice, see instructions: (Gana. TK Farm TORS fe 12-0077 form 29 fw 12.2017 Neve_The Sat Lake Tribune, ne sn ___eu.sa7a700__Pane 2 Organizational Structure oust Bo a corporation fluc = init FAB Compa See instructions, DO NOT fil this form unless you Can check 7 Are you a corporation? 1'Yes,” attach a copy of your atiles of incorporation showing certiiation of filing withthe appropriate state agency. Include copies of any amendments fo your ales and be sure they also show sat fling cericaton 2 Are yu a limited liality company (LLG)? "Ves, tach a copy of your alee of ocpanzation showng C1 Ves Certfaton offing with the ppropriate state agency, Also, you adopted an operating agreement, attach 8 copy, Include copls of any amendments fo your atl and be sure they show stato fing certicaton Refer o the instructions for roumstances when an LLC should nafs own exemption appication 3 Ave you an unincorporated association? W "Yes allach a copy of your aries of assodalion, (1Yes No consttion, or otter simiay organizing document that is ated and Incudes at last two signatures Include sighed and dated capes of any amendments, ave you a trust? H Ye,” allach a signed and dated copy of your wat agreement, Incude signed and TTVes dated copies of any amendments. b_Have you been funded? If No” explain how you are formed without anything of value placed Intust, les _C1No 3 Have you adopted bylawa? Yes,” alach a current copy showing date of adoption. No,” explain f)¥es LINO’ how your officers, directors, or trustees are selected ETI] _ Required Provisions in Your Organizing Document The folowing questions ar designed to ensure that when you fe ths appicaTon, your orpanang document contain the required provsone tb neo the o'ganzatonl text der section $01()9), Uness you can checs te boxes Indo nse and 2, your organng document Goes nat eet te orgnzation test 60 NOT fle this apptaton unt you have amended your organizing document. Sat your brigha’ and amended orgaring documents (swing sate Ting cetfeaton Ifyou are a corporation oan LLG) wth your appication 7 Section SOTETR) requres Tak your organizing document sate your exempt puposeG), such as charlabe, reigious, educational andor eientic purposes. Check tne box to conf tat your organizing document meets this requirement. Desoribe specially whore your organizing dooument meets hs requirement, suchas @ reference to a particular alle of section In your organizing document. Refer othe Instructions for exempt purpose language Location of Purpose Ciause (Page, Article, and Paragraph: Page 1, Article i, Paragraph A Za Section 60123) requires that upon dissolution of your organization, your remaining assats must bo used exclusively (7) ‘or exempt purposes, such as charltable, religious, educational, and/or scientific purposes. Check the box on line 2a to confirm that your organizing document meets this requirement by express provision for the distribution of assets upon dissolution I you rely on state law for your dissolution provision, dont chack the box on line 2a and go to line 2c. bb Ifyou checked the box online 2a, specify the location of your dissolution clause (Page, Aticle, and Paragraph) Do not complete line 2c If you checked box 2a. Pages, Article X © See the instructions for information about the operation of state law In your particular state, Check this boxifyou Cl ‘lyon operation of state law for your dissolution provision and indicate the state: Ea ative Description of Your Activities — Using an attachment, describe your past, present, and planned activities ina navrativ. I you boleve that you have aieady provided some of thes Information In response fo cther pars o this application, you may summarize that Information here and refer tothe specif parts a the appleaton for supporting deta, You may also attach representative copies of newsletters, brochures, o smlar documents fr supporting Geta to this narative, Remember that this application is approved, wil be open for public inspection. Therefore, your narrative ‘descipion of activities should be thorough and accurate Refer tothe instructions for information that must be included in your description incorporated association OF 8 TUSt TS be Tax GrOMBE fes" on lines 1,2, 3, or 4 TINo ‘Compensation and Other Financial Arrangements With Your Officers, Directors, Trustees, Employees, and Independent Contractors “Ga Ust ihe names, tities, and mailing addresses of all of your oficers, drectors, and tustees. For each person lsted, state hair total annual compensation, or proposed compensation, for all services tothe organization, whether as an oficer, employee, or ‘other position, Use actual figures, if available, Enter “none” if no compensation is or will be paid. If additional space Is needed, attach a separate shoet, Refer to the instructions for information on what to include as compensation, Comparaston aroun are Te ing eos ferns nev or stn 0S. 400 West. 1700 Paul C. Huntsman Jprosidont snd Diector 'Solt Lake city, UT 84101 ° a0 S400 west 9700, ~ Ronald G, Moff Secretary and Dicector ISoit Lake Giy, UT 401 ° 50S. 400 west #700, wasurer and Oirector Lake City, UF 84103, 0 James. Shi dy Fem 1028 er 220m Faye e-1220°7__ rete Sl ake Tune ox eeserar09___ rae 9 Compensation and Other Financial Arrangements With Vour Officers, Directors, Trustees, Employees, and Independent Contractors (Continued) Lathe names tie, and maling addresses ofeach oI your Wwe Nigheslcompanealed employees who rece or Wi Tae compensation of mere than $80,000 per year. Use the aca! fou valable. Refer To the insctlons le normaion on wala include 9 compensation. Do rol neu ocurred, o trustees Inied oe 1a name a Haling ass | tata et or estate [oos. 200 West - Matt Canam ‘Senior Managing Editor Salt Lake City, UT 84701 106,918.25 08.400 West “im Fitepavick ecutive Vice Present San Lake City, UT savor 108 250.50 0s, 400 west ~ Sheila MeCenn fanaging Ector Sei Lake Cy, Ui aai6n 9840733, Jenwitor Napier Pearce dior _ iy. 133.800 30'S 400 West David Noyce Managing Editor lt Lake City, UT #101 040733 ‘© List the names, names of businesses, and mailing addresses of your five highest compensated independent contractors that receive or will receive compensation of more than $50,000 per year. Use the actual figure, if avaiable, Rafer tothe instructions {or information on what to include as compensation Nave site ating across (errata or esti be. asa ‘Antonio Ramites |Web Developer Iai Lake City, Ui aai08 7281078 ‘The folowing "Yes" or "No™ questions relate to past present, o planned relaionships, Wansactions, or agreements with your ofices, director, trustees, highest compensated employees, and highest compensated independent contractors Isted in ines, 10, and 10, 2a Avo any of your officers, directors, or tustees related to each other through family or business [Yes []No relationships? If "Yes," identity the individuals and explain the relationship. ‘See Attachment B 'b Do you have a business relationship with ary of your officers, directors, or trustees other than through Cl Yes their position as an officer, directo, or trustee? If "Ves," identity the indlviduals and describe the business relationship with each of yaur officers, directors, or trustees, © Are any of your officers, directors, or trustees related to your highest compensated employees or highest) Yes ‘compensated independent contractors listed on lines tb or 1¢ through family or business relationships? If Yes," ident the Individuals and explain the relationship, ‘38 For each of your officers, diectors, wusteos, Highest compensated employees, and Nghest sec AuachmentB Compensated independent contractors lsted on lines 1a, 1b, or tc, attach a lst showing thelr name, ualfictions, average hours worked, and duties. b Do any of your officers, director, trustees, highest compensated employees, and highest compensated C] Yes independent contractors listed on lines 1a, 1b, or 1c recalve compensation from any other organizations, ‘whether tax exempt or taxable, that are related to you through common control? If "Yes," identity the incividuals, explain the relationship between you and the other organization, and describe the ‘compensation arrangement. ‘4 in establishing the compensation for your office, directors, trustees, highest compensated employees, and highest compensated independent contractors listed on lines 1a, 1b, and tc, the following practicas are recommended, although they are not aquired to obtain exemption. Answer "Ves" to al he practices you use, ‘2 Do you or wil the individuals that approve compensation arangoments follow a conflct of Interest policy? [Yes [No 'b Do you or will you approve compensation arrangements in advance of paying compensation? Yes [No ‘© Do you ot will you document in writing the date and terms of approved compensation arangements? «(Yes CN Fam TOS Fen aT Form 102 fe. 12-2017 a a 6a and Independent Contractors (Continued) Do you oF wil you record In writing the decision made by each Individual who dacided or voted on ‘compensation arrangements? Do you or wil you approve compensation arrangements based on information about compensation pald by similarly situated taxable or tax-exempt organizations for similar services, curent compensation surveys compiled by independent firms, or actual wrtton otters trom similary situated organizations? Refer to the instructions for Par V, lines ta, 1b, and tc, for information on what to include as compensation. Do you or wil you record in writing both the information on which you relled to base your decision and its source? |t you answered "No" to any item on lines 4a through 4f, describe how you set compensation that is easonable for your officers, directors, trustees, highest compensated employees, and highest ‘Compensated independent contractors sted in Part V, ines 1a, 1b, and to. Fave you adopted a conflict of Interest pallcy conslatont with the sample confict oF interest paley Ta ‘Appendix A to the instructions? If “Yas,” provide a copy of the policy and explain how the policy has been adopted, such as by resolution of your governing board. f"No,” answer ines 5b and Sc. What procedures will you follow to assure that persons who have « conflict of intrest will not have influence over you for setting their own compensation? What procedures will you follow to assure that persons who have @ conflt of interest will not have Influence over you regarding business deals with themselves? Note: A conflict of interest policy Is recommenced though it Is not required to obtain exemption Hospitals, soe Schedule C, Section | line 14 1 you 6 wil you compensate any of you officers, rector, tsoes, Fighest corpansated ariployees, and Highest compensated independent contractor Istod in ngs 1a, 1b, ee trough nensixed payments, suchas cscretionary ‘bonuses or venve-besed payments? "Yes," describe all nn-fixed compensaton arrangements including ow the amounts are determined, whois eigble for such arangement, whether you pace a imation on total compensation, and how you detorine or wil determine tht you pay no more than reasonable compensation for services, Refer to ‘the instractons for Part Vines 1a, 1b, and te, for nformaton on what ta include as compensation Do you or will you compensate any of your employees, other than your officer, rector, trustens, or your five highest compensated employees who recoive or will receive compensation of more than $50,000 per year, through non-fxed payments, such as discretionary bonuses or revenue-based payments? If “Yes,” {describe all non-fixed compensation arrangements, including how the amounts are or will be determined, who 's oF willbe eligible for such arrangements, whether you place or wil place a tation on total compensation, land how you determine or will determine that you pay no mare than reasonable compensation for services, Feter to the instructions for Part V, ines 1a, tb, and tc, for information on what t include as compensation Neve: The Salt Lake Tribune, ne. en: et-1876709 ‘Compensation and Other Financial Arrangements With Vour Officers, Directors, Trustees, Employees, Yee Yes ves wy Page 4 TN No CNo TINe Sce attached policy See also Attachment B Oves TNo [No Ta ea Do you oF Wil you purASS ary Goods, Senices, oF assets Kom ary Of your Ooets, Gveciors, wastes, Nahest Ccompenseted employees, or highest compenssted indeponcent contractors listed in ines 1a, 1b, or 1c? i Yes,” describe any such purchase that you made o tan to make, from whom you make or will make such purchases, how the terms are ot wit be negotiated at arm's lngth, ard explain how you determine or wil detormine that you pay ro ‘more than fair market value, Attach copies of any writen contracts or other agrents relating to such purchases Do you or will you sol any goods, services, or assets to any of your officers, dectors, trustees, highe compensated employees, or highest compensated independent contactors Isted i ines 1a, 1b, or 1¢? M"Yes; describe any such sales that you made or intend to maxe, to wham you make ot will make such sales, how the terms are or will be negotisted at arm's length, and explain how you determine or ill determine you are or wil be ald at least fair market valve Attach copies ot any written contracts or other agreements relating to such sales Do you oF will you Fave any Teasos, contacts, Toans, or ather agreements wih your officers, directors, trustees, highest compensated employees, or highest compensated independent contractors listed in lings 1a, 1b, or 1c? if*Yes,” provide the information requested in lines 8b through St. Describe any written or oral arrangements that you made or intend to make. Identity with whom you have or will have such arrangements, Explain how the terms are or willbe negotiated at arm's length, Explain how you determine you pay no more than far market value o you ae pad atleast falr market value, Attach copies of any signed leases, contracts, loans, or other agreements relating fo such arrangements, ves Dyes Tves [No TINo Do you or wil you have any leases, contrac, loans, of other agreements with any organization Ta which any of your officers, directors, or trustees are also officers, directors, or trustees, or in which any individual officer, director, or trustee owns more than a 359% interest? If “Yes,” provide the information requested in lines 9b through 9 Tves Tne Farm TORS fe OTH Fee 1029 fey. 12-2007 Nome: Tho Salt Lake Teibune, ne ‘Compensation and Other Financial Arrangements With Vour Officers, Directors, Trustees, The 7 2 Employees, and Independent Contractors (Continued) 'b_ Describe any written or oral arrangements you made or intend to make, Identify with whom you have or will have such arrangements. d_ Explain how the terms are or wll be negotiated at arm's length. © Explain how you determine or will determine you pay no more than fair market value or that you are paid atleast far market value. [Attach a copy of any signed leases, contracts loans, or other agreements relating to guch arrangements, Page 5 ‘Your Members and Other individuals and Organizations That Recelve Benefits From You ‘folowing "Yes" or "No" questions relate fo goods, services, and funds you provide to Individuals and organizations aa part of your sctivities. Your answers should pertain to past, present, and planned activites. See instructions, ‘an carving out your exempt purpases, do you provide goods, services, or funds to individuals? fr ‘scribe each program that provides goods, services, oF funds to individuals. See Attachment A [ves In carrying out your exempt purposes, do you provide goods, services, or funds to organizations? it [Yes "Yes," descrive each program that provides goods, services, or funds to organizations. See Attachment A Do any of your programs limit the provision of goods, services, or funds fo a specific ndlvidual or group ‘of specific individuals? For example, answer "Yes," It goods, services, or funds are provided only Tor a particular Individual, your members, Individuals who work for @ particular employer, or graduates of a particular school. if“Yes," explain the limitation and how recipionts ave selected for each program. Des TINe DN [No ‘Do any indhiduals who receive goods, services, or Tunds Uwough your programs have @ family or business relationship with any office, ‘director, trustoe, or with any of Your highest compensated ‘employees or highest compensated independent contractors listed in Part V, ines 1a, 1b, and 107 If “Yes,” explain how these related individuals ae eligble for goods, services, or funds. GNM _Your History The 7 following "Yes" or "No" questions relate fo your NsTory, Ses Tatructions, ‘Are you a successor to another organization? Answer “Yes,” if you have taken oF wil take over The ‘actives of another organization; you took over 25% or more of the fai market value of the net assets of ‘another organization; or you were established upon the conversion of an organization from for-profit to nonprofit status. It"Yes,” complete Schedule 6 ‘Are you Submiting this application mare than 27 months after the end of the month In which you were legaly formed? if “Yes,” complete Schedule E. [ives Tes TANe TNE See Attachment A Dives ‘Your Specific Activities ‘The following "Yes" or "No* quesiions relate fo spect activilles hat you may conduct. Check the appropriate box. Vour answers should pertain to past, present, and planned activities. See instructions, 7 2 (Do you Support or oppose candidates in polMfcal campaigns In any way? I"Va5," expla "2 Do you attempt 19 influence legislation? If “Yes,” explain how you attempt fo influence legislation and ‘complete ine 2b. IfNo," go to ine da b Have you made or are you making an election to have your legislative actives measured by expenditures by fllng Form 57887 If "Yes," attach a copy of the Form 5768 that was already fled or attach a completed Form 5768 that you are fling with this application, if “No,” describe whether your attempts to influence legislation are a substantial pat of your activites. Include the time and money ‘Spent on your attempts to influence legistation as compared to your total activities. Des Lives Dyes TE No j@_Do you or wil you operate bingo or gaming actvlfes? WF Ves,” deseriba who conducts them, and lst all Fevenue received or expected to be received and expenses pald or expected to be paid in operating these activities. Revenue and expenses should be provided for tha time perlods specified in Part Financial Data 'b Do you oF will you enter into contracts or other agreements with individuals or organizations to conduct bbingo or gaming for you? I “Yes,” describe any written or oral arrangements that you made or intend to ‘make, identity with whom you have or will ave such arrangements, explain how the terms are or will be Negotiated at arm's length, and explain how you determine or will determine you pay no more than fair market value or you wil be paid atleast far market value, Attach copies or any writen contracts or other ‘agreements relating to such arrangements List the states and local jurisdictions, Including Indian Reservations, in which you conduct or will conduct gaming or bingo, ves Dyes No Form TOS fi 2TH Fear 1028 fen 1220°7) Sane: the Salt Loke Tribune, Ine x: 04-1078700 Page 6 [2GAUN Your Specific Activities (Continued) Do you or wil you undertake fundraising? if "Yes," check all the fundraising programs you do oF wil Conduct. See instructions, Yes TNo © mai solicitations i phone sotistations emai soictations D eccopt donations on your website personal soltstions @ receive donations rom another organization's website. vehicle, boat, plane, or simlar donations CI government grant salctations foundation grant solicitations Oi Other Atach a descriotion of each fundraising program. See Attachment B b Do you or will you have written or oral contracts with any Incviduals or oxganizations to raise funds for CI Yes you? If "Yes," describe these activities. Include al revenue and expenses from these acthtias and state ‘who conducts them. Revenue and expenses should be provided for the time periods specified in Pat x, Financial Data, Also, attach a copy of any contracts or agreements, © Do you or will you engage in fundraising activites for other organizations? If describe these Cl Yes arrangements. Include a description of the organizations for which you raiso funds and attach copies of all contracts or agreomonts, List all states and local jurisdictions in which you conduct fundraising. For each state o local uridction listed, specify whether you fundraise for your own organization, you fundraise for another organization, of another organization fundraises for you @ Do you or will you maintain separate accounts for any contributor under which the contributor has the Cl¥es No Fight to advise on the use or distribution of funds? Answer "Yes" If the donor may provide advice on the ‘types of investments, distributions from the types of investments, or the distribution from the donor's, contribution account. If "Yes," describe this program, including the type of advice that may be provided and submit copies of any written materials provided to donors, you afflated with @ govenmental unit? "Vea" explain —_ DYes [No {6a Do you or will you engage in economic development? Yes,” deserlbe your program. ‘Dives Describe in full who Benefits from your economic development activities and how the activities promote exempt purposes. 7a_Do or will persons other than your employees or volunteers develop your facies? "Ves," describe Ll Ves ech facility, the role ofthe developer, and any business or family rlationship(s) between the developer and your officer, directors, or rustees. 'b Do or wil persons other than your employees or volunteers manage your activities or facilities? f “Yes,” Cl Yes describe each activity and facility, the role of the manager, and any business or family relaionship(s) between the manager and your officers, directors, or trustees. © If there is a business or family relationship between any manager or developer and your officers, directors, or trustees, identity the individuals, explain the relationship, describe how contracts are regotiated at arm's length so that you pay no more than fair market value, and submit a copy of any contracts or other agreements '@ Do you or will you enter into joint ventures, including partnerships or limited lability companies {treated as partnerships, in which you share profits and! losses with partners other than section SO1(c}) organizations? If"Yes,” describe the activities ofthese Joint ventures in which you participate. ‘Ga Are you applying for exemplion as a childcare organization under section SOTW? W "Ves," answer ines LT Ves {9b through 9d. If "No," go to line 10. bb Do you provide childcare so that parents or caretakers of chikiren you care for can be gainfully C]Yes [No employed (see instructions)? If *No,” explain how you qualiy as a childcare organization described in section 501 (8 © Of the children for whom you provide childcare, are 85% or more of them cared for by youto enable ther Ces [No parents or caretakers to be gainfully employed (see instructions)? if "No," explain how you qualify as a childcare organization described in saction 504K) Are your services avaliable tothe general public? If “No,” describe the specific group of people for whom C] Yes (No your activities are available. Also, see the instructions and explain how you qualify as a childcare organization described in section 6010) 0 Do you or wil you publish, own, or have Aghts Ih musle, Weralure, tapes, arworks, choreography, scientific discoveries, or other intellectual proporty? If “Yes,” explain. Describe who owns or will own ‘any copyrights, patents, or trademarks, whether fees are or will be charged, how the fees are dotormined, and how any items are or willbe produced, distributed, and marketed. See Attachment B Yes CINe See Attachment B Yes CINo See Attachment 8 Farm 1023 her 1277 Ferm 020 122017 sort_te lake Tabu em eesarer0s ron 7 Your Specific Actilties (Continued) 11 Do you oF wil you accept contbuilons of Teal propery, COnsanaion easarone owe Wald C1 Ves Secures: Inalectal propery such a8 patents. trademarks, and copyrights, works of music or ar licenses; royalties; automobies, boats, planes. or other vehicles or colectoie of any typo? if “Yes,

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