FORM 1023-EZ for 1 BY ONE INC

Field Data
EIN 83-1462445
Case Number EO-2018256-000513
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 1 BY ONE INC
Organization’s Mailing Address 20330 LACE CASCADE RD
City LAND O LAKES
State FL
ZIP 34637-5806
Accounting period End 12
Primary contact name RENAE DOMBROWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYDNEY DOMBROWSKI
PRESIDENT
20330 LACE CASCADE RD
LAND O LAKES FL 34637-5806

Officer/Director/Trustee Two

RENAE DOMBROWSKI
TREASURER
20330 LACE CASCADE RD
LAND O LAKES FL 34637-5806

Organization’s website 1BYONE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
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 SYDNEY DOMBROWSKI
Signature Title PRESIDENT
Signature Date 9/11/18

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