FORM 1023-EZ for AUTISM SUPPORT CENTER OF SW MICHIGAN INC

Field Data
EIN 82-4736818
Case Number EO-2018107-000849
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTISM SUPPORT CENTER OF SW MICHIGAN INC
Organization’s Mailing Address 814 S WESTNEDGE AVE SUITE 1
City KALAMAZOO
State MI
ZIP 49008-1162
Accounting period End 12
Primary contact name KATRINA WOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATRINA WOOD
PRESIDENT
814 S WESTNEDGE AVE STE 1
KALA MI 49008-1162

Officer/Director/Trustee Two

KELSEY WOOD
DIRECTOR
814 S WESTNEDGE AVE STE 1
KALAMAZOO MI 49008-1162

Officer/Director/Trustee Three

MELODY JANETZKE WOOD
SECRETARY
814 S WESTNEDGE AVE STE 1
KALAMAZOO MI 49008-1162

Officer/Director/Trustee Four

AMY OLIVER
TREASURER
814 S WESTNEDGE AVE STE 1
KALAMAZOO MI 49008-1162

Officer/Director/Trustee Five

ARLENE WRIGHT
DIRECTOR
814 S WESTNEDGE AVE STE 1
KALAMAZOO MI 49008-1162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 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 KATRINA WOOD
Signature Title PRESIDENT
Signature Date 3/29/18

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