FORM 1023-EZ for AUTISM HOPE OF LENAWEE

Field Data
EIN 61-1690580
Case Number EO-2017163-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUTISM HOPE OF LENAWEE
Organization’s Mailing Address 209 NORTH MAIN STREET
City ADRIAN
State MI
ZIP 49221-2770
Accounting period End 12
Primary contact name AMANDA KAY MAURICIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER LANDSTROM
PRESIDENT
1375 TRENTON ROAD
ADRIAN MI 49221-1358

Officer/Director/Trustee Two

AMANDA MAURICIO
TREASURER
3593 CRESTONE WAY
TECUMSEH MI 49286-9416

Officer/Director/Trustee Three

JULIE HEISE
SECRETARY
4606 WAYNICK DRIVE
BRITTON MI 49229-9431

Officer/Director/Trustee Four

ASHLEY STEGG
DIRECTOR
3617 COUNTRYSIDE DRIVE
ADRIAN MI 49221-7701

Officer/Director/Trustee Five

ALEXIS EGGENBERGER
DIRECTOR
14075 ECKEL JUNCTION ROAD
PERRYSBURG OH 43551-5734

Organization’s website N/A
Organization’s email HEARTOFSEMICHIGAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2010
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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