FORM 1023-EZ for JUNEAU FASD COMMUNITY

Field Data
EIN 82-3056431
Case Number EO-2017310-000435
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUNEAU FASD COMMUNITY
Organization’s Mailing Address 2188 C LAWSON CREEK ROAD
City DOUGLAS
State AK
ZIP 99824
Accounting period End 12
Primary contact name MARGARET E VROLYK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGARET VROLYK
PRESIDENT
2188 C LAWSON CREEK ROAD
DOUGLAS AK 99824

Officer/Director/Trustee Two

SANDY FISCUSS
VICE PRESIDENT
2520 CHANNEL VISTA DRIVE
JUNEAU AK 99801

Officer/Director/Trustee Three

MARY KATASSE
SECRETARY
PO BOX 33458
JUNEAU AK 99803

Organization’s website N/A
Organization’s email MVROLYK@GCI.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2017
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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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