FORM 1023-EZ for POLISH SUPPLEMENTARY SCHOOL OF LONGISLAND NY INC

Field Data
EIN 83-2947362
Case Number EO-2019151-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLISH SUPPLEMENTARY SCHOOL OF LONGISLAND NY INC
Organization’s Mailing Address 21 TERRELL LN
City HICKSVILLE
State NY
ZIP 11801
Accounting period End 12
Primary contact name MARTA KOPACZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTA KOPACZ
PRESIDENT
21 TERRELL LN
HICKSVILLE NY 11801

Officer/Director/Trustee Two

MARCIN KARASINSKI
SECRETARY
48 AUTUMN LANE
HICKSVILLE NY 11801

Officer/Director/Trustee Three

MARLENA BORKOWSKI
TREASURER
13 AZALEA DR
SYOSSET NY 11791

Organization’s website POLSKASZKOLALONGISLAND.COM
Organization’s email MARTAKOPACZ48@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
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 MARTA KOPACZ
Signature Title PRESIDENT
Signature Date 5/29/19

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