FORM 1023-EZ for SURFERS HELPING OUR CHILDREN WITH AUTISM INC

Field Data
EIN 45-2322010
Case Number EO-2017215-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURFERS HELPING OUR CHILDREN WITH AUTISM INC
Organization’s Mailing Address 4711 ASPEN HILL RD
City ROCKVILLE
State MD
ZIP 20853
Accounting period End 12
Primary contact name MONIKA BOBROWSKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAT TRAMMELL OBRIAN
DIRECTOR
4711 ASPEN HILL RD
ROCKVILLE MD 20853

Officer/Director/Trustee Two

FABIANA MESQUITA
DIRECTOR
7824 POLARA PL
DERWOOD MD 20855

Officer/Director/Trustee Three

DALE LOESER
DIRECOTOR
11186 SIGNATURE BLVD
ROCKVILLE MD 20853

Officer/Director/Trustee Four

MONIKA BOBROWSKA
SECRATERY
309 CATHEDRAL STREET
BALTIMORE MD 21201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2011
Organization Incorporation State MD
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: 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 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
Signature Title
Signature Date

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