FORM 1023-EZ for DANIEL J ADAMCZYK MEMORIAL FOUNDATION

Field Data
EIN 82-2658156
Case Number EO-2017268-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DANIEL J ADAMCZYK MEMORIAL FOUNDATION
Organization’s Mailing Address 53 ASHLEAF DR
City CHEEKTOWAGA
State NY
ZIP 14227-2244
Accounting period End 12
Primary contact name LEONARD ADAMCZYK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY ADAMCZYK
PRESIDENT
11 COVINGTON DR LOWER
BUFFALO NY 14220-2809

Officer/Director/Trustee Two

KATHERINE SYKES
CHIEF FINANCIAL OFFICER
11 COVINGTON DR LOWER
BUFFALO NY 14220-2809

Officer/Director/Trustee Three

BRIAN GOULD
CHAIRPERSON
9 ELMLEAF DR
CHEEKTOWAGA NY 14227-2372

Officer/Director/Trustee Four

LINDA PARKER
TRUSTEE
38 ASHLEAF DR
CHEEKTOWAGA NY 14227-2244

Officer/Director/Trustee Five

MELISSA REESE
TRUSTEE
167 LEE ST
DEPEW NY 14043-1043

Organization’s website
Organization’s email DANIELADAMCZYKFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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
Signature Title
Signature Date

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