FORM 1023-EZ for UTAH PASIFIKA ASSOCIATION

Field Data
EIN 46-1206484
Case Number EO-2020015-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UTAH PASIFIKA ASSOCIATION
Organization’s Mailing Address 1027 WEST 1033 NORTH
City OREM
State UT
ZIP 84057
Accounting period End 12
Primary contact name NATHAN BURDSAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE FONOIMOANA
PRESIDENT
1027 WEST 1033 NORTH
OREM UT 84057

Officer/Director/Trustee Two

CRAIG LINDSEY
VICE PRESIDENT
1077 WEST 125 NORTH
SPRINGVILLE UT 84663

Officer/Director/Trustee Three

PRIMROSE SAM FONG
TREASURER
1567 W SPRINGWATER DR
OREM UT 84097

Officer/Director/Trustee Four

JENNIFER FIFITA
SECRETARY
310 SOUTH 400 EAST
OREM UT 84097

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2018
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 PRIMROSE SAM FONG
Signature Title TREASURER
Signature Date 1/13/2020

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