FORM 1023-EZ for THRIVE WITH AUTISM

Field Data
EIN 84-2473663
Case Number EO-2019206-000106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THRIVE WITH AUTISM
Organization’s Mailing Address 46 S BERRYLINE CIRCLE
City THE WOODLANDS
State TX
ZIP 77381
Accounting period End 12
Primary contact name ELIZABETH GOLDSMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH GOLDSMITH
DIRECTOR
46 S BERRYLINE CIRCLE
THE WOODLANDS TX 77381

Officer/Director/Trustee Two

JOHN GOLDSMITH
DIRECTOR
46 S BERRYLINE CIRCLE
THE WOODLANDS TX 77381

Officer/Director/Trustee Three

ADRIENNE SODEMANN
DIRECTOR
14155 LAKEPOINT DRIVE
WILLIS TX 77318

Officer/Director/Trustee Four

REGINA CHARPENTIER
DIRECTOR
28514 CONNORDALE LANE
SPRING TX 77386

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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 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 ELIZABETH GOLDSMITH
Signature Title DIRECTOR
Signature Date 7/23/19

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