FORM 1023-EZ for WISH UPON A STAR AUTISM SCHOLARSHIPCORPORATION

Field Data
EIN 84-4077575
Case Number EO-2020029-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WISH UPON A STAR AUTISM SCHOLARSHIPCORPORATION
Organization’s Mailing Address 13412 WEST STAR DRIVE
City SHELBY CHARTER TWP
State MI
ZIP 48315
Accounting period End 12
Primary contact name TIFFANY CLAUW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY CLAUW
PRESIDENT/DIRECTOR
53308 CRAWFORD DRIVE
CHESTERFIELD MI 48051

Officer/Director/Trustee Two

DEBRA SMIECINSKI
TREASURER/DIRECTOR
27900 LAUREN STREET
HARRISON TOWNSHIP MI 48045

Officer/Director/Trustee Three

KRISTY SHOAF
SECRETARY
13412 WEST STAR DRIVE
SHELBY TOWNSHIP MI 48315

Officer/Director/Trustee Four

DEBRA SMIECINSKI
DIRECTOR
13412 WEST STAR DRIVE
SHELBY CHARTER TWP MI 48315

Organization’s website
Organization’s email TCLAUW@STARBC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 Yes
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 TIFFANY CLAUW
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/27/2020

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