FORM 1023-EZ for AUTISM XR INSTITUTE INC
| Field | Data |
|---|---|
| EIN | 84-3344898 |
| Case Number | EO-2019288-000453 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AUTISM XR INSTITUTE INC |
| Organization’s Mailing Address | 322 E FRONT STREET ROOM390 |
| City | BOISE |
| State | ID |
| ZIP | 83702 |
| Accounting period End | 12 |
| Primary contact name | MITCHELL ALEXANDER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MITCHELL ALEXANDER
DIRECTOR
2611 EAST FEATHER VIEW DRIVE
EAGLE ID 83616
Officer/Director/Trustee Two
BRENDAN SMYTHE
DIRECTOR
1225 E WINDING CREEK DRIVE STE110
EAGLE ID 83616
Officer/Director/Trustee Three
JIM BRADBURY
DIRECTOR
404 S 8TH STREET STE 200
BOISE ID 83702
Officer/Director/Trustee Four
JOHN ANDERSON
DIRECTOR
875 PERIMETER DRIVE
MOSCOW ID 83844-2481
Officer/Director/Trustee Five
TIAM RASTEGAR
DIRECTOR
3715 E TIMBERSAW DRIVE
BOISE ID 83716
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/8/19 |
| Organization Incorporation State | ID |
| 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: Yes 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 | MITCHELL ALEXANDER |
| Signature Title | DIRECTOR |
| Signature Date | 10/11/19 |
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