FORM 1023-EZ for THE JT FORTIN FOUNDATION FOR AUTISM
| Field | Data |
|---|---|
| EIN | 47-4037628 |
| Case Number | EO-2015245-000340 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE JT FORTIN FOUNDATION FOR AUTISM |
| Organization’s Mailing Address | 4 ALDER STREET |
| City | WINDHAM |
| State | NH |
| ZIP | 03087 |
| Accounting period End | 6 |
| Primary contact name | GEORGE FORTIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
GEORGE FORTIN
PRESIDENT AND FOUNDER
4 ALDER STREET
WINDHAM NH 03087
Officer/Director/Trustee Two
GAIL FORTIN
DIRECTOR
17 NUTTER ROAD
NORTH READING MA 01864
Officer/Director/Trustee Three
AMANDA FORTIN
DIRECTOR
17 NUTTER ROAD
NORTH READING MA 01864
Officer/Director/Trustee Four
KERRI CULLITY
DIRECTOR
111A WEST 8TH STREET
SOUTH BOSTON MA 02127
Officer/Director/Trustee Five
TOM CULLITY
DIRECTOR
19 JUDITH E DRIVE
TEWKSBURY MA 01876
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/20/2015 |
| Organization Incorporation State | NH |
| 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 | Yes |
| 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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