FORM 1023-EZ for UKRAINIAN AMERICAN YOUTH ASSOCIATION OF HARTFORD INC

Field Data
EIN 84-3068765
Case Number EO-2020034-000517
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UKRAINIAN AMERICAN YOUTH ASSOCIATION OF HARTFORD INC
Organization’s Mailing Address 961 WETHERSFIELD AVE
City HARTFORD
State CT
ZIP 06114
Accounting period End 12
Primary contact name STEPHAN MAKSYMIUK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IVAN KEBALO
PRESIDENT
663 CHURCHILL DR
NEWINGTON CT 06111

Officer/Director/Trustee Two

ROMAN HUMENNYJ
VICE PRESIDENT
35 WESTVIEW TERRACE
UNIONVILLE CT 06085

Officer/Director/Trustee Three

STEPHAN MAKSYMIUK
TREASURER
275 FOREST LANE
GLASTONBURY CT 06033

Officer/Director/Trustee Four

IRENE BOBRIWNYK
SECRETARY
218 RAYMOND RD
ROCKY HILL CT 06067

Officer/Director/Trustee Five

MYRON KOLINSKY
DIRECTOR
106 PROSPECT ST
WETHERSFIELD CT 06109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2019
Organization Incorporation State CT
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: 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 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 STEPHAN MAKSYMIUK
Signature Title TREASURER
Signature Date 2/1/2020

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