FORM 1023-EZ for POSITIVE LIFE ALASKA

Field Data
EIN 82-2746550
Case Number EO-2017256-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVE LIFE ALASKA
Organization’s Mailing Address 2440 E TUDOR RD STE 966
City ANCHORAGE
State AK
ZIP 99507
Accounting period End 12
Primary contact name LUCIAN REAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUCIAN REAVES
PRESIDENT
2440 E TUDOR RD STE 966
ANCHORAGE AK 99507

Officer/Director/Trustee Two

KARLEE RUSSELL
VP/SECRETARY
2440 E TUDOR RD STE 966
ANCHORAGE AK 99507

Officer/Director/Trustee Three

ANNA STERNBERG
TREASURER
2440 E TUDOR RD STE 966
ANCHORAGE AK 99507

Organization’s website
Organization’s email POSITIVELIFEALASKA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2017
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 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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