FORM 1023-EZ for ACCESS 4 AUTISM INC

Field Data
EIN 81-5364772
Case Number EO-2017060-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACCESS 4 AUTISM INC
Organization’s Mailing Address 3657 SW 24 ST
City MIAMI
State FL
ZIP 33145
Accounting period End 12
Primary contact name JOHN ORTUZAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN ORTUZAR
PRESIDENT/DIRECTOR
3657 SW 24 ST
MIAMI FL 33145

Officer/Director/Trustee Two

GUS VILLA
SECRETARY/DIRECTOR
3657 SW 24 ST
MIAMI FL 33145

Officer/Director/Trustee Three

BELEN ORTUZAR
TREASURER/DIRECTOR
3657 SW 24 ST
MIAMI FL 33145

Officer/Director/Trustee Four

OLGA MEADOR
DIRECTOR
3657 SW 24 ST
MIAMI FL 33145

Officer/Director/Trustee Five

MILAINE PEDROSO VELAZCO
DIRECTOR
3657 SW 24 ST
MIAMI FL 33145

Organization’s website
Organization’s email GIO1COOL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 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
Signature Title
Signature Date

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