FORM 1023-EZ for DYSAUTONOMIA DETERMINATION INC

Field Data
EIN 47-5525669
Case Number EO-2016259-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DYSAUTONOMIA DETERMINATION INC
Organization’s Mailing Address 311 SAGAMORE STREET
City MELBOURNE
State FL
ZIP 32904
Accounting period End 4
Primary contact name JULIE HOSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDER HOSLEY
REGISTER AGENT
145 WOODLAND DRIVE
WEST MELBOURNE FL 32904-3827

Officer/Director/Trustee Two

SCOTT CARTER
VICE PRESIDENT
PO BOX 121083
WEST MELBOURNE FL 32912-1083

Officer/Director/Trustee Three

JULIE HOSLEY
PRESIDENT
PO BOX 121083
WEST MELBOURNE FL 32912-1083

Officer/Director/Trustee Four

FRANK THOMAS HOSLEY
INCORPORATOR
PO BOX 121083
WEST FL 32912-1083

Organization’s website
Organization’s email DYSAUTONOMIADETERMINATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - 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 No
Donation of funds Yes
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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