FORM 1023-EZ for CALHOUN AUTISM NETWORK INC

Field Data
EIN 82-5517799
Case Number EO-2018143-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALHOUN AUTISM NETWORK INC
Organization’s Mailing Address 430 SADDLEBROOK DR SE
City CALHOUN
State GA
ZIP 30701-4681
Accounting period End 12
Primary contact name BARRY BLEVINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY BLEVINS
CO-CHAIR
430 SADDLEBROOK DR SE
CALHOUN GA 30701-4681

Officer/Director/Trustee Two

JUSTIN LINDSEY
CO-CHAIR
845 ROLAND HAYES PKWY
CALHOUN GA 30701-6103

Officer/Director/Trustee Three

MARTHA BURTON
SECRETARY
271 PEACHTREE LANE
CALHOUN GA 30701-4382

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F11 - Single Organization Support
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 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 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 BARRY BLEVINS
Signature Title CO-CHAIR
Signature Date 5/21/18

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