FORM 1023-EZ for THE STORY OF AUTISM

Field Data
EIN 83-1332689
Case Number EO-2019129-000193
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE STORY OF AUTISM
Organization’s Mailing Address 242 LAKESIDE CIRCLE
City MARYSVILLE
State OH
ZIP 43040
Accounting period End 12
Primary contact name CHRISTOPHER DILLON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER DILLON
DIRECTOR
242
MARYSVILLE OH 43040

Officer/Director/Trustee Two

TED GREEN
OFFICER
6815 RAYBEAR DRIVE
CANAL WINCHESTER OH 43110

Officer/Director/Trustee Three

CLARISSA CHILES
OFFICER
308 W 3RD STREET
MARYSVILLE OH 43040

Officer/Director/Trustee Four

BLAIRE SMITH
OFFICER
2949 NEIDHART ROAD
MARION OH 43302

Officer/Director/Trustee Five

RAYNE WARNE
OFFICER
18941 SPRINGDALE ROAD
MARYSVILLE OH 43040

Organization’s website THESTORYOFAUTISM.ORG
Organization’s email THESTORYOFAUTISM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
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 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 CHRISTOPHER DILLON
Signature Title DIRECTOR
Signature Date 5/7/19

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