FORM 1023-EZ for HEART OF AUTISM

Field Data
EIN 47-1122258
Case Number EO-2015358-000048
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART OF AUTISM
Organization’s Mailing Address 12722 SWAN LAKE DR
City FRISCO
State TX
ZIP 75033-1646
Accounting period End 12
Primary contact name NIKA ARASTOUPOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NIKA RADFAR ARASTOUPOUR
PRESIDENT
12722 SWAN LAKE DR
FRISCO TX 75033-1646

Officer/Director/Trustee Two

AMIR ARASTOUPOUR
TREASURER
12722 SWAN LAKE DR
FRISCO TX 75033-1646

Officer/Director/Trustee Three

SHANNON THOMPSON
DIRECTOR
12722 SWAN LAKE DR
FRISCO TX 75033-1646

Officer/Director/Trustee Four

ANISHTA PREMJEE
DIRECTOR
12722 SWAN LAKE DR
FRISCO TX 75033-1646

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H84 - Autism Research
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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