FORM 1023-EZ for KARPATY POLISH FOLK DANCE ENSEMBLE

Field Data
EIN 86-2241956
Case Number EO-2021111-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KARPATY POLISH FOLK DANCE ENSEMBLE
Organization’s Mailing Address 3711 W LILAC HEIGHTS DR
City SOUTH JORDAN
State UT
ZIP 84095
Accounting period End 12
Primary contact name MACIEJ SMUSZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MACIEJ SMUSZ
DIRECTOR
3711 W LILAC HEIGHTS DR
SOUTH JORDAN UT 84095

Officer/Director/Trustee Two

TICHELLE DIMICK
TRUSTEE
3054 W 7140 S
WEST JORDAN UT 84084

Officer/Director/Trustee Three

AGATA WARD
TRUSTEE
623 W 5465 S
MURRAY UT 84123

Organization’s website http://www.karpatydance.com
Organization’s email karpatydanceensemble@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2021
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 MACIEJ SMUSZ
Signature Title DIRECTOR
Signature Date 4/19/2021

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