FORM 1023-EZ for PROJECT GUATEMALA INC

Field Data
EIN 85-0838265
Case Number EO-2020209-001015
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT GUATEMALA INC
Organization’s Mailing Address 472 SW FUGE RD
City STUART
State FL
ZIP 34997
Accounting period End 12
Primary contact name EVA DOMBROWSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORBERT DOMBROWSKY
PRESIDENT
472 SW FUGE RD
STUART FL 34997

Officer/Director/Trustee Two

JAMES WEIST
VICE PRESIDENT
4635 26TH ST W
BRADENTON FL 34207

Officer/Director/Trustee Three

VICKIE DOLLHAUSEN
TREASURER
6431 LAKESHORE DR
MILTON FL 32570

Officer/Director/Trustee Four

ELLEN HAMANN
SECRETARY
1898 CORONADO LANE
STUART FL 34996

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NORBERT DOMBROWSKY
Signature Title PRESIDENT
Signature Date 7/21/2020

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