FORM 1023-EZ for UKRAINIAN SPORTS MUSEUM HALL OF FAME INC

Field Data
EIN 45-4429477
Case Number EO-2015082-000371
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UKRAINIAN SPORTS MUSEUM HALL OF FAME INC
Organization’s Mailing Address 36 MOUNTAINSIDE DR
City RANDOLPH
State NJ
ZIP 07869
Accounting period End 12
Primary contact name MYRON BYTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MYRON BYTZ
PRESIDENT CEO DIRECTOR
36 MOUNTAINSIDE DRIVE
RANDOLPH NJ 07869

Officer/Director/Trustee Two

BOHDAN PORYTKO
TREASURER DIRECTOR
78 HANCOCK DR
MORRISTOWN NJ 07960

Officer/Director/Trustee Three

ROMAN BULAWSKI
DIRECTOR
65 MICHELLE LANE
HILLSBOROUGH NJ 08844

Officer/Director/Trustee Four

CHRIS BYTZ
DIRECTOR
36 MOUNTAINSIDE DRIVE
RANDOLPH NJ 07869

Officer/Director/Trustee Five

PETER LEVITSKIY
DIRECTOR
10 MOUNTAINSIDE DR
RANDOLPH NJ 07869

Organization’s website HTTP://WWW.UKRAINIANSPORTSHALLOFFAMEANDMUSEUM.COM
Organization’s email UKRAINIANSPORTMUSEUMHALLOFFAME@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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 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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