FORM 1023-EZ for HOPE MEDIAL ALASKA

Field Data
EIN 83-2775134
Case Number EO-2019064-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE MEDIAL ALASKA
Organization’s Mailing Address 3521 INDUSTRIAL AVE
City FAIRBANKS
State AK
ZIP 99701-7377
Accounting period End 12
Primary contact name MATTHEW ELROY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW ELROY
PRESIDENT
2181 BADGER RD
NORTH POLE AK 99705

Officer/Director/Trustee Two

CHRISTOPHER COX
DIRECTOR
725 BIRCH KNOLL RD
FAIRBANKS AK 99712

Officer/Director/Trustee Three

DAVID COX
DIRECTOR
725 BIRCH KNOLL RD
FAIRBANKS AK 99712

Officer/Director/Trustee Four

ORI MILLER
DIRECTOR/SECRETARY
PO BOX 750989
FAIRBANKS AK 99708

Officer/Director/Trustee Five

JAMES FRAZIER
DIRECTOR/TREASURER
1146 ENGLAND CIRCLE
NORTH POLE AK 99705-5001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/18
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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 MATTHEW ELROY
Signature Title PRESIDENT
Signature Date 3/1/19

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