FORM 1023-EZ for ANGEL FOR AUTISM MEMORY OF TRACI STOREY INC

Field Data
EIN 83-0922724
Case Number EO-2020267-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGEL FOR AUTISM MEMORY OF TRACI STOREY INC
Organization’s Mailing Address 8435 GEISEL LN
City NASHVILL
State IL
ZIP 62263
Accounting period End 12
Primary contact name HEATHER MASCHHOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER MASCHHOFF
PRESIDENT
8435 GEISEL LN
NASHVILLE IL 62263

Officer/Director/Trustee Two

DEB STOREY
VICE PRESIDENT
12447 CORDES RD
NASHVILLE IL 62263

Officer/Director/Trustee Three

WHITNEY MEYER
TREASURER
446 W HIGH ST
NASHVILLE IL 62263

Officer/Director/Trustee Four

KIM STAMPS
SECRETARY
310 WASHINGTON ST
CARLYLE IL 62231

Officer/Director/Trustee Five

DAWN LIETZ
DIRECTOR
SASSAFRASS RD
HOYLETON IL 62803

Organization’s website ANGELFORAUTISM.COM
Organization’s email ANGELFORAUTISMINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2018
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HEATHER MASCHHOFF
Signature Title PRESIDENT
Signature Date 9/18/2020

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