FORM 1023-EZ for HERITAGEHOUSE FOUNDATION

Field Data
EIN 47-2114693
Case Number EO-2014297-000581
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERITAGEHOUSE FOUNDATION
Organization’s Mailing Address 11745 SE 321ST PL
City AUBURN
State WA
ZIP 98092
Accounting period End 12
Primary contact name FRED TYMONY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRED TYMONY
PRESIDENT, DIRECTOR
11745 SE 321ST PL
AUBURN WA 98092

Officer/Director/Trustee Two

DALE FULLER
SECRETARY, DIRECTOR
PO BOX 904
RENTON WA 98057

Officer/Director/Trustee Three

RAY VALDEZ JR
TREASURER, DIRECTOR
32149 SW 33RD AVE
FEDERAL WAY WA 98023

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2014
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
One Third Support Gifts Yes
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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