FORM 1023-EZ for AUTISM SUPPORT GROUP OF ST CROIX VALLEY INC

Field Data
EIN 82-5059669
Case Number EO-2018109-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTISM SUPPORT GROUP OF ST CROIX VALLEY INC
Organization’s Mailing Address 624 4TH STREET
City HUDSON
State WI
ZIP 54016
Accounting period End 12
Primary contact name MARGARET SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGARET SCOTT
PRESIDENT - TREASURER
624 4TH STREET
HUDSON WI 54016

Officer/Director/Trustee Two

VIVIAN E YOUNG
SECRETARY
6350 LYNN WAY
WOODBURY MN 55129

Officer/Director/Trustee Three

JEAN DEGROOT
DIRECTOR
5520 DELAWARE AVENUE
VISALIA CA 93291

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 MARGARET SCOTT
Signature Title PRESIDENT - TREASURER
Signature Date 4/16/18

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