FORM 1023-EZ for CHRYSALIS CENTER FOR AUTISM
| Field | Data |
|---|---|
| EIN | 84-4605480 |
| Case Number | EO-2020209-000327 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHRYSALIS CENTER FOR AUTISM |
| Organization’s Mailing Address | 13750 WEST COLONIAL DRIVE 350-121 |
| City | WINTER GARDEN |
| State | FL |
| ZIP | 34787-4204 |
| Accounting period End | 12 |
| Primary contact name | BRIDGETT DIMANT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRIDGETT DIMANT
PRESIDENT
13750 WEST COLONIAL DRIVE 350-121
WINTER GARDEN FL 34787-4204
Officer/Director/Trustee Two
STEPHANIE NULLIGAN
TREASURER
13750 WEST COLONIAL DRIVE 350-121
WINTER GARDEN FL 34787-4204
Officer/Director/Trustee Three
RACEHL PROULX
CHAIRPERSON ON GOVERNING BODY
13750 WEST COLONIAL DRIVE 350-121
WINTER GARDEN FL 34787-4204
Officer/Director/Trustee Four
FEDERICA CARULLI
OFFICER
13750 WEST COLONIAL DRIVE 350-121
WINTER GARDEN FL 34787-4204
Officer/Director/Trustee Five
MATT DIMANT
OFFICER
13750 WEST COLONIAL DRIVE 350-121
WINTER GARDEN FL 34787-4204
| Organization’s website | N/A |
|---|---|
| Organization’s email | CHRYSALISAUTISMCENTERFL@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/6/2020 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E30 - Health Treatment Facilities, Primarily Outpatient |
| Organization’s purpose | Charitable: No 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| Disaster relief assistance | Yes |
| 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 | BRIDGETT DIMANT |
| Signature Title | PRESIDENT |
| Signature Date | 7/18/2020 |
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