FORM 1023-EZ for PRUSKI FAMILY FOUNDATION

Field Data
EIN 84-4070094
Case Number EO-2019360-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRUSKI FAMILY FOUNDATION
Organization’s Mailing Address 540
City HUNTSVILLE
State TX
ZIP 77340
Accounting period End 12
Primary contact name NICHOLAS DUPRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY PRUSKI
DIRECTOR
540 INTERSTATE 45 SOUTH SUITE 45
HUNTSVILLE TX 77340

Officer/Director/Trustee Two

ROXANNE PRUSKI
DIRECTOR
540 INTERSTATE 45 SOUTH SUITE 45
HUNTSVILLE TX 77340

Officer/Director/Trustee Three

SETH PRUSKI
DIRECTOR
540 INTERSTATE 45 SOUTH SUITE 45
HUNTSVILLE TX 77340

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEFFREY PRUSKI
Signature Title DIRECTOR
Signature Date 12/23/2019

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