FORM 1023-EZ for QUA - LGBTQ UKRAINIANS IN AMERICA

Field Data
EIN 84-4080062
Case Number EO-2019364-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUA - LGBTQ UKRAINIANS IN AMERICA
Organization’s Mailing Address 3714 GARFIELD STREET NORTHWEST
City WASHINGTON
State DC
ZIP 20007
Accounting period End 12
Primary contact name BOGDAN GLOBA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOGDAN GLOBA
PRESIDENT
3714 GARFIELD ST NW
WASHINGTON DC 20007

Officer/Director/Trustee Two

DMYTRO ORLOVSKYI
TRUSTEES/ DIRECTOR
1725 DORCHESTER RD APT 6A
BROOKLYN NY 11226

Officer/Director/Trustee Three

ALEX BURLAKOV
DIRECTOR
4512 N LAPORTE AV APT 2F
CHICAGO IL 60630

Organization’s website WWW.QUA.COMMUNITY
Organization’s email INFO@QUA.COMMUNITY
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/25/2019
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R26 - Lesbian, Gay Rights
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 BOGDAN GLOBA
Signature Title PRESIDENT
Signature Date 12/26/2019

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