FORM 1023-EZ for SOUTHERN UTAH PACIFIC ISLANDER COALITION

Field Data
EIN 47-1137921
Case Number EO-2014279-000475
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN UTAH PACIFIC ISLANDER COALITION
Organization’s Mailing Address 301 N 200 E SUITE 3A
City ST GEORGE
State UT
ZIP 84790
Accounting period End 12
Primary contact name MARIANNE SORENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELI LANGI
DIRECTOR
1219 OAK CIR
ST GEORGE UT 84790

Officer/Director/Trustee Two

SUSI LAFAELE
DIRECTOR
2985 BUTTERNUT CIR
ST GEORGE UT 84790

Officer/Director/Trustee Three

DAVID WADE
DIRECTOR
1620 E 1450 S NO 65
ST GEORGE UT 84790

Officer/Director/Trustee Four

KARYN KEANAAINA
DIRECTOR
1210 W INDIAN HILLS DR NO 13
ST GEORGE UT 84770

Officer/Director/Trustee Five

EMILEE SCHWALGER
DIRECTOR
2985 BUTTERNUT CIR
ST GEORGE UT 84790

Organization’s website WWW.FACEBOOK.COM/SOUTAHPACIFICISLANDERCOALITION
Organization’s email SOUTAHPACIFICISLANDERCOALITION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2014
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 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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