FORM 1023-EZ for PACIFIC ISLANDERS SER INC
| Field | Data |
|---|---|
| EIN | 82-4106871 |
| Case Number | EO-2018305-000427 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PACIFIC ISLANDERS SER INC |
| Organization’s Mailing Address | 7386 CORINTH ROAD |
| City | JONESBORO |
| State | GA |
| ZIP | 30238 |
| Accounting period End | 12 |
| Primary contact name | SIOSAIA MATAELE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SIOSAIA MATAELE
PRESIDENT
9386 CORINTH ROAD
JONESBORO GA 30238
Officer/Director/Trustee Two
GARDENIA THURMAN
VICE PRESIDENT
7386 CORINTH ROAD
JONESBORO GA 30238
Officer/Director/Trustee Three
LORETTA PITTMAN
VICE PRESIDENT
PERINE
MATAELE GA 30238
Officer/Director/Trustee Four
STEVE PITTMAN
SECRETARY
7386 CORINTH ROAD
JONESBORO GA 30238
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/5/18 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N41 - |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: No Scientific: No Literary: Yes 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 | SIOSAIA MATAELE |
| Signature Title | PRESIDENT |
| Signature Date | 10/30/18 |
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