FORM 1023-EZ for CREATING POTENTIAL OF ALASKA

Field Data
EIN 47-5381483
Case Number EO-2015299-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREATING POTENTIAL OF ALASKA
Organization’s Mailing Address PO BOX 200376
City ANCHORAGE
State AK
ZIP 99520-0376
Accounting period End 12
Primary contact name ISLIN MUNISTERI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ISLIN MUNISTERI
PRESIDENT
11018 KASKANAK DR
EAGLE RIVER AK 99577-8311

Officer/Director/Trustee Two

MEGAN LUCAS
TREASURER
RR 3 BOX 2340
STILWELL AK 74960-9538

Officer/Director/Trustee Three

JILL TIETJEN
SECRETARY
7377 S HUDSON WAY
CENTENNIAL CO 80122-2578

Officer/Director/Trustee Four

KIM KOVOL
DIRECTOR
8123 HARTZELL RD
ANCHORAGE AK 99507-3135

Officer/Director/Trustee Five

LUCAS MUNISTERI
DIRECTOR
11018 KASKANAK DR
EAGLE RIVER AK 99577-8311

Organization’s website HTTPS://WWW.FACEBOOK.COM/CREATINGPOTENTIALAK/
Organization’s email ISLIN@CREATINGPOTENTIAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2015
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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