FORM 1023-EZ for AUTISM RESIDENTIAL INC

Field Data
EIN 84-5190260
Case Number EO-2020224-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTISM RESIDENTIAL INC
Organization’s Mailing Address 909 W 13TH ST
City YANKTON
State SD
ZIP 57078
Accounting period End 12
Primary contact name MALLORY SCHULTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MALLORY SCHULTE
DIRECTOR
909 W 13TH ST
YANKTON SD 57078

Officer/Director/Trustee Two

RYAN CWACH
DIRECTOR
909 W 13TH ST
YANKTON SD 57078

Officer/Director/Trustee Three

VALARY TIEZEN
DIRECTOR
29901 439TH AVE
UTICA SD 57067

Officer/Director/Trustee Four

MYLES TIEZEN
DIRECTOR
29901 439TH AVE
UTICA SD 57067

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2019
Organization Incorporation State SD
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 MALLORY SCHULTE
Signature Title DIRECTOR
Signature Date 8/6/2020

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