FORM 1023-EZ for PALMER SAROMA KAI

Field Data
EIN 47-2648849
Case Number EO-2015028-000373
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALMER SAROMA KAI
Organization’s Mailing Address 1150 S COLONY WAY - PMB 361
City PALMER
State AK
ZIP 99645
Accounting period End 12
Primary contact name CARLA SWICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARLA SWICK
PRESIDENT
7670 SEBASTIAN DR
WASILLA AK 99654

Officer/Director/Trustee Two

SHUNJI NINOYU
VICE PRESIDENT
3501 E 66TH AVE
ANCHORAGE AK 99507

Officer/Director/Trustee Three

LEE HENRICKSON
SECRETARY
325 E FIREWEED LN
PALMER AK 99645

Officer/Director/Trustee Four

TANYA LANG
TREASURER
970 EDINBOROUGH DR
PALMER AK 99645

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2011
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q20 - Promotion of International Understanding
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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