FORM 1023-EZ for AUTISM SPECTRUM SUPPORT GROUP OF SOUTHERN MARYLAND INC

Field Data
EIN 46-5046899
Case Number EO-2014239-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUTISM SPECTRUM SUPPORT GROUP OF SOUTHERN MARYLAND INC
Organization’s Mailing Address P O BOX 2162
City CALIFORNIA
State MD
ZIP 20619
Accounting period End 12
Primary contact name TERRI GRIEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRI GRIEST
PRESIDENT
PO BOX 2162
CALIFORNIA MD 20619

Officer/Director/Trustee Two

JUNE NICHOLAS
TREASURER
PO BOX 2162
CALIFORNIA MD 20619

Officer/Director/Trustee Three

TRACIE CHANDLER
VICE PRESIDENT
PO BOX 2162
CALIFORNIA MD 20619

Officer/Director/Trustee Four

MISSY ALEXANDER
SECRETARY
PO BOX 2162
CALIFORNIA MD 20619

Officer/Director/Trustee Five

TONI SIEG
AT LARGE MEMBER
PO BOX 2162
CALIFORNIA MD 20619

Organization’s website WWW.AUTISMSUPPORT-SOMD.ORG
Organization’s email INFO@AUTISMSUPPORT-SOMD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2014
Organization Incorporation State MD
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: 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 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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