FORM 1023-EZ for SUSITNA OPTIONAL PARENT GROUP

Field Data
EIN 81-4254470
Case Number EO-2016313-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUSITNA OPTIONAL PARENT GROUP
Organization’s Mailing Address 7500 TYONE CT
City ANCHORAGE
State AK
ZIP 99508
Accounting period End 6
Primary contact name VICKY WARREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKY WARREN
OFFICER
3711 E 20TH AVE UNIT A
ANCHORAGE AK 99508

Officer/Director/Trustee Two

SARA CREWDSON
DIRECTOR
1613 EARLY VIEW DRIVE
ANCHORAGE AK 99504

Officer/Director/Trustee Three

RHIANNON BENEDETTI
OFFICER
2001 BARBOA CIRCLE
ANCHORAGE AK 99504

Officer/Director/Trustee Four

JESSICA BLACKSON
OFFICER
5430 NEW SMYRNA CIRCLE
ANCHORAGE AK 99508

Organization’s website HTTPS://SITES.GOOGLE.COM/SITE/SUSITNAOPTIONALPARENTGROUP/
Organization’s email SUSITNAOPTIONAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2014
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
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 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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