FORM 1023-EZ for AUPTIMISM ORG

Field Data
EIN 27-2296288
Case Number EO-2017271-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUPTIMISM ORG
Organization’s Mailing Address 6250 SALOMA AVE
City VAN NUYS
State CA
ZIP 91411
Accounting period End 12
Primary contact name JAIME SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAIME SHELTON
PRESIDENT/DIRECTOR
6250 SALOMA AVE
VAN NUYS CA 91411

Officer/Director/Trustee Two

JEFF SHELTON
SECRETARY/TREASURER/DIRECTOR
6250 SALOMA AVE
VAN NUYS CA 91411

Officer/Director/Trustee Three

ADRIANA ALVAREZ
DIRECTOR
14576 LYLE ST
SYLMAR CA 91342

Officer/Director/Trustee Four

JESSICA DAVY
DIRECTOR
600 N CENTRAL AVE NUM 402
GLENDALE CA 91203

Officer/Director/Trustee Five

SYRENTHIA FARRIS
DIRECTOR
7449 RESEDA BLVD NUM 482
RESEDA CA 91335

Organization’s website AUPTIMISM.ORG
Organization’s email JAIMESHELTON17@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2010
Organization Incorporation State CA
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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