FORM 1023-EZ for GENEROUS HEART

Field Data
EIN 47-1780016
Case Number EO-2019042-000482
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GENEROUS HEART
Organization’s Mailing Address 30404 28TH AVE SW
City FEDERAL WAY
State WA
ZIP 98023-2350
Accounting period End 12
Primary contact name PIOTR RAITER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PIOTR RAITER
PRESIDENT
30404 28AVE SW
FEDERAL WAY WA 98023-2350

Officer/Director/Trustee Two

ELENA ARSENIY
TREASURER
12517 SE 299TH PL
AUBURN WA 98092-2186

Officer/Director/Trustee Three

ELVIRA RYBAKOV
SECRETARY
21925 7TH AVE S APT 108
DES MOINS WA 98198-6166

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/14
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name PIOTR RAITER
Signature Title PRESIDENT
Signature Date 2/8/19
EIN 47-1780016
Case Number EO-2014261-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENEROUS HEART
Organization’s Mailing Address 2715 SW 322ND ST
City FEDERAL WAY
State WA
ZIP 98023-2211
Accounting period End 12
Primary contact name PIOTR RAITER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PIOTR RAITER
PRESIDENT
2715 SW 322ND ST
FEDERAL WAY WA 98023-2211

Officer/Director/Trustee Two

ELENA ARSENIY
TREASURER
12517 SE 299TH PL
AUBURN WA 98092-2186

Officer/Director/Trustee Three

ANNA CHEBAN
SECRETARY
1727 K ST NE
AUBURN WA 98002-3340

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2014
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: 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 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
Signature Title
Signature Date

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