FORM 1023-EZ for AUTISM SOCIETY OF MAHONING VALLEY

Field Data
EIN 47-5553257
Case Number EO-2017027-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUTISM SOCIETY OF MAHONING VALLEY
Organization’s Mailing Address PO BOX 151
City CANFIELD
State OH
ZIP 44406
Accounting period End 12
Primary contact name ROBIN SUZELIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN SUZELIS
PRESIDENT
270 SLEEPY HOLLOW DRIVE
CANFIELD OH 44406-1061

Officer/Director/Trustee Two

AUNDREA CIKA HESCHMEYER
VICE PRESIDENT
5701 SAMPSON DRIVE
GIRARD OH 44420-3512

Officer/Director/Trustee Three

SHANNAN JURSA
TREASURER
1918 COUNTRYSIDE DRIVE
YOUNGSTOWN OH 44515-5573

Officer/Director/Trustee Four

TRACY MARCIANO
SECRETARY
593 BLOSSOM AVENUE
CAMPBELL OH 44405-1459

Organization’s website WWW.AUTISMMV.ORG
Organization’s email AUTISMMV@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 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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