FORM 1023-EZ for PYEONGTAEKS LITTLE TREASURES

Field Data
EIN 83-1932660
Case Number EO-2019038-000843
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PYEONGTAEKS LITTLE TREASURES
Organization’s Mailing Address 1942 BROADWAY STREET STE 314C
City BOULDER
State CO
ZIP 80302
Accounting period End 12
Primary contact name HEIDI NEGAARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEIDI NEGAARD
PRESIDENT AND DIRECTOR
UNIT 15228 BOX 751
APO AP 96271

Officer/Director/Trustee Two

ROBERT NEGAARD
TREASURER
UNIT 15228 BOX 751
APO AP 96271

Officer/Director/Trustee Three

STEVEN GILLET
VICE PRESIDENT AND DIRECTOR
9315 S TAYLOR DRIVE
TEMPE AZ 85284

Officer/Director/Trustee Four

CARMEN MORALES-GILLET
SECRETARY
9315 S TAYLOR DRIVE
TEMPE AZ 85284

Officer/Director/Trustee Five

ASHLEY NEGAARD
DIRECTOR
8841 CREEKSIDE WAY APT 2122
HIGHLANDS RANCH CO 80129

Organization’s website
Organization’s email PLTINC@ASIA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 HEIDI NEGAARD
Signature Title PRESIDENT AND DIRECTOR
Signature Date 2/3/19

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