FORM 1023-EZ for GIVE TO INDONESIA FOUNDATION

Field Data
EIN 85-1717201
Case Number EO-2020195-000477
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIVE TO INDONESIA FOUNDATION
Organization’s Mailing Address 15127 NE 24TH ST STE 766
City REDMOND
State WA
ZIP 98052
Accounting period End 12
Primary contact name DIAS GOTAMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIAS GOTAMA
PRESIDENT
15127 NE 24TH ST STE 766
REDMOND WA 98052

Officer/Director/Trustee Two

MARTIN LIJANTO
SECRETARY
15127 NE 24TH ST STE 766
REDMOND WA 98052

Officer/Director/Trustee Three

CHRISTOPHER TJONG
TREASURER
15127 NE 24TH ST STE 766
REDMOND WA 98052

Organization’s website HTTPS://WWW.GIVETOINDONESIA.ORG
Organization’s email INFO@GIVETOINDONESIA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 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 DIAS GOTAMA
Signature Title PRESIDENT
Signature Date 7/9/2020

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