FORM 1023-EZ for POLISH HERITAGE CLUB INC

Field Data
EIN 25-1786720
Case Number EO-2017310-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POLISH HERITAGE CLUB INC
Organization’s Mailing Address P O BOX 1361
City UNIONTOWN
State PA
ZIP 15401
Accounting period End 12
Primary contact name JOHN RICHNAFSKY CHMN OF DIRECTORS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH BIZIK JR
PRESIDENT
685 MORGANTOWN ROAD
UNIONTOWN PA 15401

Officer/Director/Trustee Two

DONALD MACK
VICE PRESIDENT
325 OLD RTE 51 ROAD
SMOCK PA 15480

Officer/Director/Trustee Three

KIMBERLY BIZIK
SECRETARY
685 MORGANTOWN ROAD
UNIONTOWN PA 15401

Officer/Director/Trustee Four

TOMI PIKE
TREASURER
2554 MORGANTOWN ROAD
UNIONTOWN PA 15401

Officer/Director/Trustee Five

JOHN RICHNAFSKY
CHAIRMAN DIRECTORS
119 TREE FARM ROAD
MCCLCLLANDTOWN PA 15458

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/1972
Organization Incorporation State PA
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 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 Yes
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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