FORM 1023-EZ for INTERNATIONAL AUTOIMMUNE ENCEPHALITIS SOCIETY

Field Data
EIN 81-3752344
Case Number EO-2016291-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERNATIONAL AUTOIMMUNE ENCEPHALITIS SOCIETY
Organization’s Mailing Address 919 NORTH MARKET STREET SUITE 425
City WILMINGTON
State DE
ZIP 19801
Accounting period End 12
Primary contact name EUGENE DESOTELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EUGENE DESOTELL
OFFICER
6082-W FAIRHOPE CT
CRYSTAL RIVER FL 34429

Officer/Director/Trustee Two

TABITHA ORTH
SECRETARY
8420-SW PARKVIEW LOOP
BEAVERTON OR 97008

Officer/Director/Trustee Three

ANJI FESLER
PRESIDENT
12607 CANYON ECHO DRIVE
HOUSTON TX 77065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G48 - Brain Disorders
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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