FORM 1023-EZ for BELARUS AMERICAN GREAT HUMAN CARE INC

Field Data
EIN 85-4003578
Case Number EO-2021022-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELARUS AMERICAN GREAT HUMAN CARE INC
Organization’s Mailing Address 140 MYERS RAOD
City NEVERSINK
State NY
ZIP 12765
Accounting period End 12
Primary contact name NICHOLAS KLIMIUK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS KLIMIUK
PRESIDENT
140 MYERS ROAD
NEVERSINK NY 12765

Officer/Director/Trustee Two

ILYA ABDURACHMANOV
VICE PRESIDENT
78 GARDEN HOUSE ROAD
HURLEYVILLE NY 12747

Officer/Director/Trustee Three

JINYI ANDRIUNAS
SECRETARY
140 MYERS ROAD
NEVERSINK NY 12765

Officer/Director/Trustee Four

IRENA KLIMIUK
TREASURER
140 MYERS ROAD
NEVERSINK NY 12765

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
Conducting Activities Outside of United States Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICHOLAS KLIMIUK
Signature Title PRESIDENT
Signature Date 11/24/2020

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