FORM 1023-EZ for PETERS ORPHANAGES OF UKRAINE

Field Data
EIN 47-3464643
Case Number EO-2015099-000413
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETERS ORPHANAGES OF UKRAINE
Organization’s Mailing Address 399 FOX FIRE ESTATE CIRCLE
City WAYNESVILLE
State NC
ZIP 28785
Accounting period End 12
Primary contact name MARIE LEVINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIE LEVINE
PRESIDENT
399 FOX FIRE ESTATE CIRCLE
WAYNESVILLE NC 28785

Officer/Director/Trustee Two

DAVID LEVINE
TREASURER
399 FOX FIRE ESTATE CIRCLE
WAYNESVILLE NC 28785

Officer/Director/Trustee Three

EMILE MASSARO
SECRETARY
513 TRACY LANE
WAYNESVILLE NC 28786

Officer/Director/Trustee Four

BOHDAN NESWIACHENY
DIRECTOR
151 COLLEGE DRIVE SUITE 1
ORANGE PARK FL 32065

Officer/Director/Trustee Five

DALE FEHR
DIRECTOR
399 FOX FIRE ESTATE CIRCLE
WAYNESVILLE NC 28785

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2015
Organization Incorporation State NC
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: 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
Signature Title
Signature Date

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