FORM 1023-EZ for FRANK A BELCZYK & EVELYN N BELCZYKCHARITABLE TRUST

Field Data
EIN 82-7018529
Case Number EO-2019231-000471
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRANK A BELCZYK & EVELYN N BELCZYKCHARITABLE TRUST
Organization’s Mailing Address 2022 BOSTON ROAD
City WILBRAHAM
State MA
ZIP 1095
Accounting period End 12
Primary contact name JOHN SOJA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SOJA
TRUSTEE
2022 BOSTON ROAD
WILBRAHAM MA 1095

Officer/Director/Trustee Two

RAYMON SOLTYS
TRUSTEE
41 WARSAW DRIVE
LUDLOW MA 1056

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN SOJA
Signature Title TRUSTEE
Signature Date 8/16/19
EIN 82-7018529
Case Number EO-2019231-000471
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRANK A BELCZYK & EVELYN N BELCZYK CHARITABLE TRUST
Organization’s Mailing Address 2022 BOSTON ROAD
City WILBRAHAM
State MA
ZIP 1095
Accounting period End 12
Primary contact name JOHN SOJA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SOJA
TRUSTEE
2022 BOSTON ROAD
WILBRAHAM MA 1095

Officer/Director/Trustee Two

RAYMON SOLTYS
TRUSTEE
41 WARSAW DRIVE
LUDLOW MA 1056

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN SOJA
Signature Title TRUSTEE
Signature Date 8/16/19

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