FORM 1023-EZ for AUTISM NETWORK OF MUSKEGON COUNTY INC

Field Data
EIN 26-3642689
Case Number EO-2015282-000374
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUTISM NETWORK OF MUSKEGON COUNTY INC
Organization’s Mailing Address 525 S GOEBEL ROAD
City RAVENNA
State MI
ZIP 49451
Accounting period End 12
Primary contact name DENISE BRAGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RONDA BEAMER
PRESIDENT
DANGL ROAD
MUSKEGON MI 49442

Officer/Director/Trustee Two

DENISE BRAGG
TREASURER
525 S GOEBEL ROAD
RAVENNA MI 49451

Officer/Director/Trustee Three

ADRIANNE SIBLEY
SECRETARY
WHITEHALL ROAD
WHITEHALL MI 49461

Officer/Director/Trustee Four

DENISE BRAGG
TRUSTEE
525 S GOEBEL ROAD
RAVENNA MI 49451

Officer/Director/Trustee Five

RONDA BEAMER
TRUSTEE
DANGL ROAD
MUSKEGON MI 49442

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2009
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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