FORM 1023-EZ for AICARDI GOUTIERES SYNDROME AMERICASASSOCIATION INC

Field Data
EIN 81-2738041
Case Number EO-2017033-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AICARDI GOUTIERES SYNDROME AMERICASASSOCIATION INC
Organization’s Mailing Address 218 BUTTE AVE
City CRESTED BUTTE
State CO
ZIP 81224
Accounting period End 12
Primary contact name MEGAN REAMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE WEINBERG
PRESIDENT
8340 WHEATLEY RD
LA PLATA MD 20646

Officer/Director/Trustee Two

MEGAN REAMER
TREASURER
PO BOX 2821
CRESTED BUTTE CO 81224

Officer/Director/Trustee Three

JEANA HACKER
SECRETARY
6221 BRADLEY DR
CORPUS CHRISTI TX 78414

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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