FORM 1023-EZ for FPN FOUNDATION

Field Data
EIN 86-3427665
Case Number EO-2021189-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FPN FOUNDATION
Organization’s Mailing Address 86 MIDWAY AVE
City FANWOOD
State NJ
ZIP 07023
Accounting period End 12
Primary contact name TARAS FERENCEVYCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARAS FERENCEVYCH
TREASURER
86 MIDWAY AVE
FANWOOD NJ 07023

Officer/Director/Trustee Two

ADRIAN HEWRYK
PRESIDENT
338 RICE STREET
JEWETT NY 12444

Officer/Director/Trustee Three

LEV HOLUBEC
VICE-PRESIDENT
3121 HERITAGE OAKS LANE
OAK BROOK IL 60523

Officer/Director/Trustee Four

GEORGE SAWICKI
TRUSTEE AT LARGE
79 WEST 12TH STREET APT 2A
NEW YORK NY 10011

Officer/Director/Trustee Five

ALEXANDER JAKUBOWYCZ
TRUSTEE AT LARGE
8352 WINDSOR WAY
BROADVIEW HEIGHTS OH 44147

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O40 - Scouting Organizations
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 TARAS FERENCEVYCH
Signature Title TREASURER
Signature Date 7/6/2021

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