FORM 1023-EZ for ANCHORAGE MORAVIAN FELLOWSHIP

Field Data
EIN 82-1645425
Case Number EO-2017305-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANCHORAGE MORAVIAN FELLOWSHIP
Organization’s Mailing Address 4036 VANCE DRIVE
City ANCHORAGE
State AK
ZIP 99508
Accounting period End 12
Primary contact name CARRIE PATON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FAY ROMER
PRESIDENT
3607 LOIS DRIVE
ANCHORAGE AK 99517

Officer/Director/Trustee Two

ANNIE WASSILIE
VICE PRESIDENT
4129 VANCE DRIVE
ANCHORAGE AK 99508

Officer/Director/Trustee Three

CARRIE PATON
SECRETARY
4036 VANCE DRIVE
ANCHORAGE AK 99508

Officer/Director/Trustee Four

PAULINE BAYAYUK
DIRECTOR
4101 EAST 20TH NUMBER 1
ANCHORAGE AK 99508

Officer/Director/Trustee Five

TANYA KERNAK
TREASURER
435 EKLUTNA STREET
ANCHORAGE AK 99504

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2017
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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