FORM 1023-EZ for AUTISM SURFS OF FLORIDA INC

Field Data
EIN 84-1797490
Case Number EO-2019211-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTISM SURFS OF FLORIDA INC
Organization’s Mailing Address 43 STOWE RD
City MARY ESTHER
State FL
ZIP 32569
Accounting period End 12
Primary contact name RICHARD WEEKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD WEEKS
PRESIDENT/DIRECTOR
43
MARY ESTHER FL 32569

Officer/Director/Trustee Two

MIKE STONE
VP/DIRECTOR
1129 CHRISTMAS TREE RD
MILTON FL 32570

Officer/Director/Trustee Three

SHAWN BOWMAN
DIRECTOR
4100 BEATNIK LANE
COCOA BEACH FL 32926

Officer/Director/Trustee Four

JOE DOLIVE
DIRECTOR
322 MICHAEL COURT
MARY ESTHER FL 32569

Officer/Director/Trustee Five

JOHN CROSS
DIRECTOR
317 VALENCIA ST
GULF BREEZE FL 32561

Organization’s website HTTP://AUTISMSURFS.COM/
Organization’s email INFO@AUTISMSURFS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 RICHARD WEEKS
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/28/19

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