FORM 1023-EZ for AMUSE FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-0526302 |
| Case Number | EO-2020111-000291 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AMUSE FOUNDATION |
| Organization’s Mailing Address | 17337 SANTA ISABEL ST |
| City | FOUNTAIN VALLEY |
| State | CA |
| ZIP | 92708 |
| Accounting period End | 12 |
| Primary contact name | BRITTANY BAS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRITTANY BAS
CHAIRMAN
17337 SANTA ISABEL ST
FOUNTAIN VALLEY CA 92708
Officer/Director/Trustee Two
JONATHAN CIRLIN
VICE CHAIRMAN
20416 COULSON ST
WOODLAND HILLS CA 91367
Officer/Director/Trustee Three
TIM SKAGGS
TREASURER
729 W 16TH ST SUITE A-1
COSTA MESA CA 92627
Officer/Director/Trustee Four
ALEXANDRA FIALLO
ADMINISTRATIVE DIRECTOR
5282 E THE TOLEDO APT 5
LONG BEACH CA 90803
Officer/Director/Trustee Five
STACEY HEBERDEN
ADVOCATE OUTREACH DIRECTOR
10068 LOS COYOTES
FOUNTAIN VALLEY CA 92708
| Organization’s website | |
|---|---|
| Organization’s email | AMUSE4AUTISM@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2020 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| 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 | No |
| Benefit of College | Yes |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BRITTANY BAS |
| Signature Title | CHAIRMAN |
| Signature Date | 4/17/2020 |
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