FORM 1023-EZ for SOUTH SUDANESE COMMUNITY OF UTAH

Field Data
EIN 35-2652997
Case Number EO-2019186-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH SUDANESE COMMUNITY OF UTAH
Organization’s Mailing Address 816 EAST CHADDS FORD LANE APT 10
City MIDVALE
State UT
ZIP 84047
Accounting period End 12
Primary contact name PUOK PUOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PUOK PUOK
84047
816 EASY CHADDS FORD LN APT 10
MIDVALE UT 84047

Officer/Director/Trustee Two

JIMA LEKO
DIRECTOR
1975 WEST PLEASANT CIRCLE
SALT LAKE CITY UT 84116

Officer/Director/Trustee Three

STEPHEN MOUKI
DIRECTOR
5100 SOUTH 4950 WEST
KEARNS UT 84118

Officer/Director/Trustee Four

ANGELINA KAM
DIRECTOR
4197 SOUTH 1300 EAST
MILLCREEK UT 84124

Officer/Director/Trustee Five

NYADAK SOLOMON
DIRECTOR
4231 SOUTH 200 WEST APT 9
MURRAY UT 84107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/15
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
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 PUOK PUOK
Signature Title 84047
Signature Date 7/2/19

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