FORM 1023-EZ for PALLIATIVE CARE ALASKA NETWORK
| Field | Data |
|---|---|
| EIN | 83-2214914 |
| Case Number | EO-2019163-000345 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PALLIATIVE CARE ALASKA NETWORK |
| Organization’s Mailing Address | 1770 MORNINGTIDE CT |
| City | ANCHORAGE |
| State | AK |
| ZIP | 99501 |
| Accounting period End | 12 |
| Primary contact name | HAL GEIGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
HAL GEIGER
TREASURER
222 SEWARD SUITE 205
JUNEAU AK 99801
Officer/Director/Trustee Two
KIM HUFFINGTON RN
BOARD PRESIDENT
2001 GILLAM WAY
FAIRBANKS AK 99701
Officer/Director/Trustee Three
BIANCA RAUCH
BOARD VICE-PRESIDENT
3404 GREENLAND RD APT 3
ANCHORAGE AK 99517
Officer/Director/Trustee Four
KRIS GREEN
BOARD SECRETARY
1770 MORNINGTIDE CT
ANCHORAGE AK 99501
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/15/18 |
| Organization Incorporation State | AK |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G10 - |
| Organization’s purpose | Charitable: No 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 | 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 | HAL GEIGER |
| Signature Title | TREASURER |
| Signature Date | 6/10/19 |
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