FORM 1023-EZ for LONDON ANGEL AUTISM FOUNDATION

Field Data
EIN 83-3700192
Case Number EO-2019206-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LONDON ANGEL AUTISM FOUNDATION
Organization’s Mailing Address 4055 PIER STATION ROAD EAST
City GREEN COVE SPRINGS
State FL
ZIP 32043
Accounting period End 2
Primary contact name RUBY LEE COOPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUBY COOPER
PRESIDENT
4055 PIER STATION ROAD EAST
GREEN COVE SPRINGS FL 32043

Officer/Director/Trustee Two

DIAMOND GALLEGOS
VICE PRESIDENT
4055 PIER STATION ROAD EAST
GREEN COVE SPRINGS FL 32043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/19
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: Yes
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 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 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 RUBY COOPER
Signature Title PRESIDENT
Signature Date 7/23/19

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