FORM 1023-EZ for AUTISM HITS HOME INC

Field Data
EIN 81-5414200
Case Number EO-2017060-000418
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUTISM HITS HOME INC
Organization’s Mailing Address 441 NEPTUNE DRIVE NE
City PALM BAY
State FL
ZIP 32907
Accounting period End 12
Primary contact name JAMES HELMBERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VINCENT L FALCONE
PRESIDENT
862 NELSON AVENUE NE
PALM BAY FL 32907

Officer/Director/Trustee Two

JAMES HELMBERGER
TREASURER
441 NEPTUNE DRIVE NE
PALM BAY FL 32907

Officer/Director/Trustee Three

BROCK TUCKER
SECRETARY
1567 LOMBARD ST SW
PALM BAY FL 32907

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2017
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: 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
Signature Title
Signature Date

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