FORM 1023-EZ for WASILLA HOMELESS-COMMITTEE

Field Data
EIN 47-2893704
Case Number EO-2015091-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WASILLA HOMELESS-COMMITTEE
Organization’s Mailing Address 2521 E MOUNTAIN VILLAGE DR SUITE B
City WASILLA
State AK
ZIP 99654-7377
Accounting period End 12
Primary contact name SANDRA L SAGERIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDRA SAGERIAN
DIRECTOR
9990 W STANLEY DR
WASILLA AK 99654-0839

Officer/Director/Trustee Two

KERRI KOONOOK
CO DIRECTOR
PO BOX 873050
WASILLA AK 99654-3050

Officer/Director/Trustee Three

LAURIE PHILLIPS
SECRETARY
2106 E VILLAGE LOOP
WASILLA AK 99654

Officer/Director/Trustee Four

KATHLEEN TOWNS
TREASURER
9189 S POLARIS LN
WASILLA AK 99623

Organization’s website HTTP://WASILLAHOMES.WEBSITE
Organization’s email WASILLAHOMELESS.COMMITTEE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2015
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 Yes
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 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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