FORM 1023-EZ for SOUTH SUDANESE COMMUNITY ASSOCIATION OF UTAH

Field Data
EIN 46-3023236
Case Number EO-2017163-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH SUDANESE COMMUNITY ASSOCIATION OF UTAH
Organization’s Mailing Address 5548 WEST HEATHROW CIRCLE
City KEARNS
State UT
ZIP 84118
Accounting period End 12
Primary contact name ANET AKOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES KUANG
DIRECTOR
5548 WEST HEATHROW CIRCLE
KEARNS UT 84118

Officer/Director/Trustee Two

JOSEPH GARANG
DIRECTOR
396 EAST 3360 SOUTH
SALT LAKE CITY UT 84115

Officer/Director/Trustee Three

MICHAEL ADE
DIRECTOR
2769 SOUTH CENTER BROOK DRIVE
WEST VALLEY CITY UT 84119

Officer/Director/Trustee Four

ANET AKOT
DIRECTOR
4032 SOUTH 1300 WEST APT 22
SALT LAKE CITY UT 84123

Officer/Director/Trustee Five

ADHAL AWAN
DIRECTOR
517 EAST MANSFIELD AVENUE
SALT LAKE CITY UT 84106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2013
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S11 - Single Organization Support
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-3023236
Case Number EO-2015181-000051
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH SUDANESE COMMUNITY ASSOCIATION OF UTAH
Organization’s Mailing Address 765 E CHADDS FORD LANE NUMBER 10
City MIDVALE
State UT
ZIP 84047
Accounting period End 12
Primary contact name ANET AKOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL JUMA JAMES ADE
PRESIDENT
2769 S CENTERBROOK DR
WEST VALLEY CITY UT 84119

Officer/Director/Trustee Two

SUZIE AKOK
VICE PRESIDENT
1450 S WEST TEMPLE NUMBER H108
SALT LAKE CITY UT 84115

Officer/Director/Trustee Three

CHARLES KUANG
TREASURER
5548 W HEATHROW CIRCLE
KEARNS UT 84118

Officer/Director/Trustee Four

ADHAL AWAN
INFORMATION SECRETARY
517 E MANSFIELD AVE
SALT LAKE CITY UT 84106

Officer/Director/Trustee Five

NYOK MAJOK
EVENTS SECRETARY
4159 S 4080 W
WEST VALLEY CITY UT 84120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2013
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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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