FORM 1023-EZ for MAKARIOS AUTISM CENTER

Field Data
EIN 81-2574580
Case Number EO-2016144-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAKARIOS AUTISM CENTER
Organization’s Mailing Address 388 CEDAR HILL ROAD NW
City AMANDA
State OH
ZIP 43102
Accounting period End 12
Primary contact name JERRY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERRY SMITH
PRESIDENT
388 CEDAR HILL ROAD NW
AMANDA OH 43102

Officer/Director/Trustee Two

RUBY SMITH
VICE- PRESIDENT
388 CEDAR HILL ROAD NW
AMANDA OH 43102

Officer/Director/Trustee Three

ANGLA BLISSENBACH
DIRECTOR
18 WILLIAMS STREET
LOCKBOURE OH 43137

Officer/Director/Trustee Four

KEVIN SMTIH
DIRECTOR
4674 HUNTERS BEND
PLAINCITY OH 43062

Officer/Director/Trustee Five

KEITH SMITH
DIRECTOR
5441 SHOT GUN LANE
CANAL WINCHESTER OH 43110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B24 - Primary, Elementary Schools
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 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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