SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
The Dixie State University Foundation
 
Employer identification number

87-0290082
Return Reference Explanation
Part VI, Line 2 Cam Morby Chair and Jeff Morby Board Member are related. Becky Staples Board Member and Brandon Staples Board Member are related.
Part VI, Line 19 The organization does not have formal policies; however the Foundation follows the policies and procedures of the related organization Dixie State University. The University has formal policies and procedures. These along with financial statements can be found online or upon request.
Part IX, Line 11g Land Prepped for Sale $162,296
Part III, Line 4d | Description:, Expense Amount:, Grants Amount:, Revenue Amount:| Provide support to Utah Tech University previously Dixie State University dance programs, $2500, $0, $0|
Part IX, Line 11g | Explanation:| Land Prepped for Sale $162,296
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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