FORM 1023-EZ for AZACHOROK FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-2944444 |
| Case Number | EO-2019354-000297 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AZACHOROK FOUNDATION |
| Organization’s Mailing Address | 7120 OLD SEWARD HIGHWAY |
| City | ANCHORAGE |
| State | AK |
| ZIP | 99518 |
| Accounting period End | 12 |
| Primary contact name | LOREN PETERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LOREN PETERSON
PRESIDENT
7636 ARC
ANCHORAGE AK 99518
Officer/Director/Trustee Two
PETER ANDREWS
CHAIRMAN
253 BEANS AVE
MOUNTAIN VILLAGE AK 99632
Officer/Director/Trustee Three
ANITA ANDREWS
TREASURER
32251 SHEPPARD ST
MOUNTAIN VILLAGE AK 99632
Officer/Director/Trustee Four
SHIRLEY KOWCHEE
SECRETARY
3500 ROBIN STREET
ANCHORAGE AK 99502
Officer/Director/Trustee Five
HEATHER POLTY
ASST. SECRETARY
6207 SOUTH AURORA DRIVE
ANCHORAGE AK 99687
| Organization’s website | WWW.AZACHOROKFOUNDATION.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/8/2019 |
| Organization Incorporation State | AK |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S30 - Economic Development |
| 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 | Yes |
| Donation of funds | Yes |
| 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 | LOREN PETERSON |
| Signature Title | PRESIDENT |
| Signature Date | 12/18/2019 |
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