FORM 1023-EZ for AUTISM CARE CENTER INC

Field Data
EIN 47-5089649
Case Number EO-2016348-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUTISM CARE CENTER INC
Organization’s Mailing Address 21073 POWERLINE RD SUITE 45
City BOCA RATON
State FL
ZIP 33433
Accounting period End 12
Primary contact name OLGA CONCHA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OLGA CONCHA
PRESIDENT
11812 SUNCHASE CT
BOCA RATON FL 33498-6814

Officer/Director/Trustee Two

JOHN LANCSAK
SECRETARY
11812 SUNCHASE CT
BOCA RATON FL 33498-6814

Officer/Director/Trustee Three

LUCIA PORRAS
TREASURE
10670 BOCA ENTRADA BLVD
BOCA RATON FL 33428

Officer/Director/Trustee Four

ADRIANA EGOCHEAGA
VICEPRESIDENT
21073 POWERLINE RD SUITE 45
BOCA RATON FL 33433

Officer/Director/Trustee Five

DIANA EGOCHEAGA
VICEPRESIDENT
21073 POWERLINE RD SUITE 45
BOCA RATON FL 33433

Organization’s website WWW.AUTISMCARECENTER.ORG
Organization’s email OLGACONCHA@AUTISMCARECENTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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
Signature Title
Signature Date

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