FORM 1023-EZ for PEDIATRIC RESOURCE CENTER OF ALASKA

Field Data
EIN 84-4968765
Case Number EO-2020079-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEDIATRIC RESOURCE CENTER OF ALASKA
Organization’s Mailing Address 1975 W CHURCH RIDGE RD
City WASILLA
State AK
ZIP 99654
Accounting period End 12
Primary contact name AMY LACHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY LACHER
DIRECTOR
1975 W CHURCH RIDGE RD
WASILLA AK 99654

Officer/Director/Trustee Two

MARSHAL PACKA
DIRECTOR
2930 W YOUNTREE DR
WASILLA AK 99654

Officer/Director/Trustee Three

LOUIS LACHER
SECRETARY / TREASURER
15400 E MAN O WAR
PALMER AK 99623

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2020
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMY LACHER
Signature Title DIRECTOR
Signature Date 3/17/2020

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