FORM 1023-EZ for JANUSZ KORCZAK POLISH LANGUAGE SCHOOL

Field Data
EIN 84-2165452
Case Number EO-2019262-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JANUSZ KORCZAK POLISH LANGUAGE SCHOOL
Organization’s Mailing Address 866 ATWELLS AVENUE
City PROVIDENCE
State RI
ZIP 2909
Accounting period End 12
Primary contact name KAROLINA BADURA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAROLINA BADURA
PRESIDENT
85
WARWICK RI 2889

Officer/Director/Trustee Two

JOLANTA PAWLICKA
VICE PRESIDENT
17 ELI STREET
CUMBERLAND RI 2864

Officer/Director/Trustee Three

ALEKSANDRA UNIEJEWSKA
TREASURER
33 OVERHILL DRIVE
WEST WARWICK RI 2893

Officer/Director/Trustee Four

SYLWIA KOROVAE
SECRETARY
10 MURRAY STREET
NORTH PROVIDENCE RI 2911

Officer/Director/Trustee Five

KRYSTYNA ZARNA
DIRECTOR
58 BLUFF AVENUE
CRANTSON RI 2910

Organization’s website
Organization’s email KORCZAKPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/13
Organization Incorporation State RI
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: No
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 Yes
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 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 KAROLINA BADURA
Signature Title PRESIDENT
Signature Date 9/17/19

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