FORM 1023-EZ for PYKOSZ FOUNDATION FOR AUTISM

Field Data
EIN 83-1257053
Case Number EO-2019107-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PYKOSZ FOUNDATION FOR AUTISM
Organization’s Mailing Address 121 N 20TH STREET
City WEIRTON
State WV
ZIP 26062
Accounting period End 12
Primary contact name JAMIE PYKOSZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE PYKOSZ
OWNER/ORGANIZER
121 N 20TH STREET
WEIRTON WV 26062

Officer/Director/Trustee Two

CYNTHIA KISNER
MEMBER
751 FOWLER HILL ROAD
WELLSBURG WV 26070

Officer/Director/Trustee Three

JEREMY PYKOSZ
MEMBER
121 N 20TH STREET
WEIRTON WV 26062

Organization’s website
Organization’s email JAMIE.PYKOSZ@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 JAMIE PYKOSZ
Signature Title OWNER/ORGANIZER
Signature Date 4/14/19

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