FORM 1023-EZ for ARCTIC ENGINEERS BOOSTER CLUB

Field Data
EIN 47-2901492
Case Number EO-2021259-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARCTIC ENGINEERS BOOSTER CLUB
Organization’s Mailing Address 6326 ARCTIC WARRIOR DR
City ANCHORAGE
State AK
ZIP 99506-3221
Accounting period End 12
Primary contact name MARK ADRIAN SASOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK ADRIAN SASOT
PRESIDENT
20571 PINE CREST LN
EAGLER RIVER AK 99577

Officer/Director/Trustee Two

AMANDA KOPECKY
VICE PRESIDENT
2176 FAIRCHILD AVE UNIT H
ANCHORAGE AK 99506-3221

Officer/Director/Trustee Three

DAISY KURTENBACH
SECRETARY
7053 CHENNAULT AVE UNIT 1635
JBER AK 99506-3221

Officer/Director/Trustee Four

JEFFREY CARR
TREASURER
23023 GREEN GARDEN DR
CHUGIAK AK 99567

Officer/Director/Trustee Five

SAMUEL PARKER
WAYS AND MEANS
5909D GOODWIN AVE
JBER AK 99506-3221

Organization’s website
Organization’s email AEBOOSTERCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2014
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - 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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration No
Signature Name MARK ADRIAN SASOT
Signature Title PRESIDENT
Signature Date 9/14/2021
EIN 47-2901492
Case Number EO-2015028-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARCTIC ENGINEERS BOOSTER CLUB
Organization’s Mailing Address 6326 ARCTIC WARRIOR DR
City ANCHORAGE
State AK
ZIP 99506
Accounting period End 12
Primary contact name BYRON WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BYRON WASHINGTON
PRESIDENT
6830 GOLD KINGS CIR APT D
ANCHORAGE AK 99504

Officer/Director/Trustee Two

ALEJANDRO VARELA
VICE PRESIDENT
8680 CROSS POINT LOOP
ANCHORAGE AK 99504

Officer/Director/Trustee Three

REBEKAH LINDLEY
TREASURER
4908 E 43RD AVE APT B2
ANCHORAGE AK 99508

Officer/Director/Trustee Four

MARTINNA YOUNG
SECRETARY
6994 STEPHENSON LANE APT A
JBER AK 99506

Officer/Director/Trustee Five

ANTHONY SHERARD
WAYS AND MEANS
6009 B DEBARR RD APT 308
ANCHORAGE AK 99504

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2014
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - 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 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 Yes
One Third Support Gifts No
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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