FORM 1023-EZ for GOOD SAMARITAN ORGANIZATION INC

Field Data
EIN 87-1417189
Case Number EO-2021237-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOOD SAMARITAN ORGANIZATION INC
Organization’s Mailing Address 122 E PATRICK ST PMB 104
City FREDERICK
State MD
ZIP 21701
Accounting period End 6
Primary contact name MAREK MAJTAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAMILA MAJTANOVA
BOARD OF DIRECTORS
6204 ADELAY CT
FREDERICK MD 21703

Officer/Director/Trustee Two

MEGAN VOLK
BOARD OF DIRECTORS
710 PARK AVE
BRUNSWICK MD 21716

Officer/Director/Trustee Three

IVANA KLEPACOVA
BOARD OF DIRECTORS
6204 ADELAY CT W
FREDERICK MD 21703

Officer/Director/Trustee Four

MAREK MAJTAN
EXECUTIVE DIRECTOR
6204 ADELAY COURT WEST
FREDERICK MD 21703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2021
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 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 MAREK MAJTAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/23/2021

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