FORM 1023-EZ for PROFESSIONALS WITH AUTISM AND OTHERABILITIES

Field Data
EIN 85-3009418
Case Number EO-2021064-001189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROFESSIONALS WITH AUTISM AND OTHERABILITIES
Organization’s Mailing Address 545 ESTATE CLUB CIRCLE
City ROSWELL
State GA
ZIP 30075
Accounting period End 12
Primary contact name CINDI ROTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDI ROTH
PRESIDENT
545 ESTATE CLUB CIRCLE
ROSWELL GA 30075

Officer/Director/Trustee Two

CINDI ROTH
VICE PRESIDENT
545 ESTATE CLUB CIRCLE
ROSWELL GA 30075

Officer/Director/Trustee Three

CINDI ROTH
TREASURER
545 ESTATE CLUB CIRCLE
ROSWELL GA 30075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J03 - Professional Societies, Associations
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CINDI ROTH
Signature Title TREASURER
Signature Date 1/11/2021

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