FORM 1023-EZ for SUPPORT NETWORK FOR ADULTS WITH AUTISM

Field Data
EIN 81-3302232
Case Number EO-2016319-000676
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUPPORT NETWORK FOR ADULTS WITH AUTISM
Organization’s Mailing Address 5516 PEAKTON DRIVE
City RALEIGH
State NC
ZIP 27614-9707
Accounting period End 12
Primary contact name SANTOSH GAUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANTOSH GAUR
PRESIDENT
5516 PEAKTON DRIVE
RALEIGH NC 27614-9707

Officer/Director/Trustee Two

WILLIAM STANFORD
VICE PRESIDENT
6708 WOODMERE DRIVE
RALEIGH NC 27612-6807

Officer/Director/Trustee Three

LAURIE NEDERVEEN
SECRETARY
2432 BAILEYS LANDING DRIVE
RALEIGH NC 27606-4262

Officer/Director/Trustee Four

DIANE PADDOCK
TREASURER
1202 HERITAGE CLUB AVE
WAKE FOREST NC 27587-4229

Officer/Director/Trustee Five

MARY KUHR
DIRECTOR
2912 HAWTREE DRIVE
RALEIGH NC 27613-5440

Organization’s website
Organization’s email SNAA_1@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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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