FORM 1023-EZ for SPARCLE AUTISM YOUTH AT RISK

Field Data
EIN 82-3958552
Case Number EO-2018071-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPARCLE AUTISM YOUTH AT RISK
Organization’s Mailing Address 1129 S LARK ELLEN AVE
City WEST COVINA
State CA
ZIP 91791
Accounting period End 12
Primary contact name DAHLENE MARTIN-LOVELACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAHLENE MARTIN-LOVELACE
PRESIDENT
1129 S LARK ELLEN AVE
WEST COVINA CA 91791

Officer/Director/Trustee Two

MITZI HERNANDEZ
SECRETARY/TREASURER
1129 S LARK ELLEN AVE
WEST COVINA CA 91791

Officer/Director/Trustee Three

SHARON LOVELACE
DIRECTOR
1129 S LARK ELLEN AVE
WEST COVINA CA 91791

Organization’s website HTTPS://WWW.SPARCLEAUTISM.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAHLENE MARTIN-LOVELACE
Signature Title PRESIDENT
Signature Date 3/9/18

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