FORM 1023-EZ for POLISH AMERICAN COUNCIL OF TEXAS

Field Data
EIN 46-0936733
Case Number EO-2016092-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POLISH AMERICAN COUNCIL OF TEXAS
Organization’s Mailing Address P O BOX 1357
City LA VERNIA
State TX
ZIP 78121
Accounting period End 12
Primary contact name ELAINE MAZUREK STEPHENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIM MAZURKIEWICZ
PRESIDENT
600JOHN KIMBROUGH BLVD STE 518
COLLEGE STATION TX 77843

Officer/Director/Trustee Two

JOHN WOJTASCZYK
TREASURER
P O BOX 41
PANNA MARIA TX 78144

Officer/Director/Trustee Three

PIOTR PRZYBYLSKI
2ND VICE PRESIDENT
18310 LANGSBURY DR
HOUSTON TX 77084

Officer/Director/Trustee Four

ELAINE STEPHENS
VICE PRESIDENT
132 HIDDEN FOREST DR
LA VERNIA TX 78121

Officer/Director/Trustee Five

SUSIE KOTARA
SECRETARY
4365 FM 1353
KARNES CITY TX 78118

Organization’s website WWW.POLISHAMERICANCOUNCILOFTEXAS.ORG
Organization’s email PACOFTEXAS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2012
Organization Incorporation State TX
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: 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 No
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
Signature Title
Signature Date

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