FORM 1023-EZ for PEYVAND

Field Data
EIN 83-3242149
Case Number EO-2019036-001019
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEYVAND
Organization’s Mailing Address 15121 NE 201 ST
City WOODINVILLE
State WA
ZIP 98072
Accounting period End 1
Primary contact name ROY GHAZIMORAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROY GHAZIMORAD
PRESIDENT
15121 NE 201 ST
WOODINVILLE WA 98072

Officer/Director/Trustee Two

SHIRIN BAREKATEIN
SECRATERY
137 18TH AVE
KIRKLAND WA 98033

Organization’s website
Organization’s email PIASCHOOL@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROY GHAZIMORAD
Signature Title PRESIDENT
Signature Date 1/22/19

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