FORM 1023-EZ for KUSKOKWIM RIVER INTER-TRIBAL FISH COMMISSION

Field Data
EIN 81-3444753
Case Number EO-2021083-000331
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KUSKOKWIM RIVER INTER-TRIBAL FISH COMMISSION
Organization’s Mailing Address 821 N STREET SUITE 103
City ANCHORAGE
State AK
ZIP 99501
Accounting period End 12
Primary contact name CASEY RANGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLENE ERIK
CHAIR
PO BOX 305
ANIAK AK 99557

Officer/Director/Trustee Two

MICHAEL WILLIAMS SR
VICE-CHAIR
PO BOX 27
AKIAK AK 99552

Officer/Director/Trustee Three

JONATHAN SAMUELSON
SECRETARY/TREASURER
1419 W13TH AVENUE
ANCHORAGE AK 99501

Officer/Director/Trustee Four

MARY PELTOLA
EXECUTIVE DIRECTOR
PO BOX 1129
BETHEL AK 99559

Organization’s website WWW.KUSKOSALMON.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2016
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY PELTOLA
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/9/2020
EIN 81-3444753
Case Number EO-2016221-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KUSKOKWIM RIVER INTER TRIBAL FISH COMMISSION
Organization’s Mailing Address PO BOX 190
City BETHEL
State AK
ZIP 99559-0190
Accounting period End 12
Primary contact name ORIANNE REICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAMONT ALBERTSON
DIRECTOR
PO BOX 190
BETHEL AK 99559-0190

Officer/Director/Trustee Two

JAMES CHARLES
DIRECTOR
GENERAL DILEVERY
TUNTUTULIAK AK 99680

Officer/Director/Trustee Three

GREG ROCZICKA
DIRECTOR
PO BOX 927
BETHEL AK 99559-0927

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D33 - Fisheries Resources
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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
Signature Title
Signature Date

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