FORM 1023-EZ for AUTISM INDEPENDENCE PROGRAM INC

Field Data
EIN 86-1488919
Case Number EO-2021103-000461
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTISM INDEPENDENCE PROGRAM INC
Organization’s Mailing Address 1281 N OCEAN DR NUM 8
City RIVIERA BEACH
State FL
ZIP 33404
Accounting period End 12
Primary contact name CRAIG WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAIG WASHINGTON
DIRECTOR
1281 N OCEAN DR NUM 8
RIVIERA BEACH FL 33404

Officer/Director/Trustee Two

TONI WASHINGTON
DIRECTOR
1281 N OCEAN DR NUM 8
RIVIERA BEACH FL 33404

Officer/Director/Trustee Three

BAYLN WASHINGTON
DIRECTOR
1281 N OCEAN DR NUM 8
RIVIERA BEACH FL 33404

Officer/Director/Trustee Four

MARK NEARY
DIRECTOR
1281 N OCEAN DR NUM 8
RIVIERA BEACH FL 33404

Officer/Director/Trustee Five

STEPHANIE NEARY
DIRECTOR
1281 N OCEAN DR NUM 8
RIVIERA BEACH FL 33404

Organization’s website
Organization’s email AUTISMINDEPENDENCEPROGRAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2021
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: No
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 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 CRAIG WASHINGTON
Signature Title DIRECTOR
Signature Date 4/6/2021

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