FORM 1023-EZ for INTERNATIONAL AUTISM INITIATIVE

Field Data
EIN 45-4379536
Case Number EO-2016179-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERNATIONAL AUTISM INITIATIVE
Organization’s Mailing Address 8615 EAST VILLAGE AVENUE
City MONTGOMERY VILLAGE
State MD
ZIP 20886
Accounting period End 12
Primary contact name IAN PAREGOL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANE SALZANO
PRESIDENT
14319 BRIARWOOD TERRACE
ROCKVILLE MD 20853

Officer/Director/Trustee Two

DONALD RODRICK
TREASURER
5443 THE BRIDDLE PATH
COLUMBIA MD 21044

Officer/Director/Trustee Three

IAN PAREGOL
SECRETARY
4080 ROXMILL COURT
GLENWOOD MD 21738

Officer/Director/Trustee Four

LAWRENCE ROSSOMONDO
DIRECTOR
15090 HOLLEYSIDE DRIVE
MONTCLAIR VA 22025

Officer/Director/Trustee Five

STEVE MULLER
DIRECTOR
1625 ADVENTURELAND DRIVE SUITE B
ALTOONA IA 50009

Organization’s website WWW.AUTISM-INITIATIVE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2011
Organization Incorporation State DE
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: Yes
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 Yes
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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