| Field | Data |
|---|---|
| EIN | 46-4291319 |
| Case Number | EO-2014328-000109 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE LITTLE STAR BEHAVIORAL CLINIC |
| Organization’s Mailing Address | 3771 SAN JOSE PLACE SUITE 22 |
| City | JACKSONVILLE |
| State | FL |
| ZIP | 32257 |
| Accounting period End | 12 |
| Primary contact name | ANJELICA PAULO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
DANIELLE RIENKS
PRESIDENT
3771 SAN JOSE PLACE SUITE 22
JACKSONVILLE FL 32257
BRONSON CLEMENS
VICE PRESIDENT
3771 SAN JOSE PLACE SUITE 22
JACKSONVILLE FL 32257
STEPHAN GARTMAN
SECRETARY
3771 SAN JOSE PLACE SUITE 22
JACKSONVILLE FL 32257
MISTY BOYLSTON
TREASURER
3771 SAN JOSE PLACE SUITE 22
JACKSONVILLE FL 32257
AMANDA MOORE
BOARD MEMBER
3771 SAN JOSE PLACE SUITE 22
JACKSONVILLE FL 32257
| Organization’s website | HTTP://WWW.LITTLESTARJAX.COM/ |
|---|---|
| Organization’s email | INFO@LITTLESTARJAX.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/21/2014 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G84 - Autism |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: No Literary: Yes 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 | 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 | 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 | |
| Signature Title | |
| Signature Date |
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