FORM 1023-EZ for LIGHT FOR AUTISM CORP

Field Data
EIN 86-1599737
Case Number EO-2021085-001211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIGHT FOR AUTISM CORP
Organization’s Mailing Address 16110 89TH AVE
City CHIPPEWA FALLS
State WI
ZIP 54729
Accounting period End 12
Primary contact name LILY KIRCHNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LILY KIRCHNER
CEO/PRESIDENT
16110 89TH AVE
CHIPPEWA FALLS WI 54729

Officer/Director/Trustee Two

KAYLA MUCHKA
TREASURER
213 S HUBBARD ST UNIT 2
HORICON WI 53032

Officer/Director/Trustee Three

KELLIE WAGNER
SECRETARY
8148 162ND ST
CHIPPEWA FALLS WI 54729

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2021
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: No
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LILY KIRCHNER
Signature Title CEO/PRESIDENT
Signature Date 2/6/2021

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