FORM 1023-EZ for AUTISM SURFS PCB INC
| Field | Data |
|---|---|
| EIN | 47-3854286 |
| Case Number | EO-2016104-000074 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | AUTISM SURFS PCB INC |
| Organization’s Mailing Address | 1220 COLORADO AVE |
| City | LYNN HAVEN |
| State | FL |
| ZIP | 32444 |
| Accounting period End | 12 |
| Primary contact name | JULIE CLARK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
JULIE CLARK
BOARD OF DIRECTOR
1220 COLORADO AVE
LYNN HAVEN FL 32444
Officer/Director/Trustee Two
WARREN CLARK
BOARD OF DIRECTOR
1220 COLORADO AVE
LYNN HAVEN FL 32444
Officer/Director/Trustee Three
TONY BANKS
BOARD OF DIRECTOR
4000 MARRIOTT DR 3203
PANAMA CITY BEACH FL 32408
| Organization’s website | AUTISMSURFSPCB.ORG |
|---|---|
| Organization’s email | AUTISMSURFSPCB@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/15/2015 |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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