FORM 1023-EZ for THE GLON AND STRZALKOWSKI FOUNDATION

Field Data
EIN 83-4029084
Case Number EO-2019080-000510
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GLON AND STRZALKOWSKI FOUNDATION
Organization’s Mailing Address 7128 WEST CHESTNUT DRIVE
City LITTLETON
State CO
ZIP 80128
Accounting period End 12
Primary contact name TOMASZ STRZALKOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOMASZ STRZALKOWSKI
PRESIDENT
7128 WEST CHESTNUT DRIVE
LITTLETON CO 80128

Officer/Director/Trustee Two

JEFFRIE JIMENEZ
BOARD MEMBER
30751 FOX RUN LANE
SAN JUAN CAPISTRANO CA 92675

Officer/Director/Trustee Three

MONICA STRZALKOWSKI
SECRETARY
7128 WEST CHESTNUT DRIVE
LITTLETON CO 80128

Officer/Director/Trustee Four

WIESLAW GLON
TREASURER
1188 DORUM AVE
STATE COLLEGE PA 16801

Officer/Director/Trustee Five

RENATA GLON
BOARD MEMBER
1188 DORUM AVE
STATE COLLEGE PA 16801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
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 TOMASZ STRZALKOWSKI
Signature Title PRESIDENT
Signature Date 3/19/19

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