FORM 1023-EZ for HOST UKRAINE INC

Field Data
EIN 47-5300465
Case Number EO-2015289-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOST UKRAINE INC
Organization’s Mailing Address 18 ROBANETTE CT
City FORT THOMAS
State KY
ZIP 41075
Accounting period End 6
Primary contact name COLLEEN HOLT THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARAH ASAFTEI
VP MARKETING
7228 HUMBER CIRCLE
WESLEY CHAPEL FL 33545

Officer/Director/Trustee Two

TAMMY WAY
VP ADVOCACY
236 GWENEDD LANE
PLEASANT GAP PA 16823

Officer/Director/Trustee Three

DAVID THOMPSON
DIRECTOR
18 ROBANETTE COURT
FORT THOMAS KY 41075

Officer/Director/Trustee Four

MARIYA KRUTKOVA
DIRECTOR
370 LANCASTER AVE
HAVERFORD PA 19041

Officer/Director/Trustee Five

COLLEEN HOLT THOMPSON
EXECUTIVE DIRECTOR
18 ROBANETTE COUT
FORT THOMAS KY 41075

Organization’s website WWW.HOSTUKRAINE.ORG
Organization’s email INFO@HOSTUKRAINE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2015
Organization Incorporation State KY
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 Yes
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 Yes
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
Signature Title
Signature Date

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