FORM 1023-EZ for KANANA FOU HIGH SCHOOL PTA

Field Data
EIN 66-0847298
Case Number EO-2015295-000387
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KANANA FOU HIGH SCHOOL PTA
Organization’s Mailing Address PO BOX 8237
City PAGO PAGO
State AS
ZIP 96799
Accounting period End 12
Primary contact name SINA TUFELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROL BAQUI
1PRESIDENT
PO BOX 3465
PAGO PAGO AS 96799

Officer/Director/Trustee Two

FOU TITI
2PRESIDENT
PO BOX 998165
PAGO PAGO AS 96799

Officer/Director/Trustee Three

MARY KOROIADI
TREASURER
LEONE PO BOX 9412
PAGO PAGO AS 96799

Officer/Director/Trustee Four

ANNETTE ILIMALEOTA
2VICE PRESIDENT
PO BOX 1164
PAGO PAGO AS 96799

Officer/Director/Trustee Five

SETEFANO POULI
2VICE PRESIDENT
PO BOX 4346
PAGO PAGO AS 96799

Organization’s website WWW.PTA-KANANAFOUHIGHSCHOOL.ORG
Organization’s email PTA.KANANAFOUHIGHSCHOOL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2015
Organization Incorporation State AS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
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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