FORM 1023-EZ for PACIFIC AUTISM ALLIANCE

Field Data
EIN 86-1605095
Case Number EO-2021256-000684
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PACIFIC AUTISM ALLIANCE
Organization’s Mailing Address 51 HARTWELL AVE
City SALT LAKE
State UT
ZIP 84115
Accounting period End 12
Primary contact name KATALINA TAKUVAKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATALINA TAKUVAKA
DIRECTOR
51 HARTWELL AVE
SALT LAKE UT 84115

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2021
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 KATALINA TAKUVAKA
Signature Title DIRECTOR
Signature Date 9/11/2021

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