FORM 1023-EZ for ULTIMATE AUTISM FOUNDATION

Field Data
EIN 46-4519718
Case Number EO-2017242-000404
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ULTIMATE AUTISM FOUNDATION
Organization’s Mailing Address 912 2 ND AVE N
City SAUK RAPIDS
State MN
ZIP 56379
Accounting period End 12
Primary contact name TIM DUEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY DUEL
CHAIR/TREASUERER
912 2ND AVE N
SAUK RAPIDS MN 56379

Officer/Director/Trustee Two

TRISTAN WILKINS
VICE CHAIR
504 7TH AVE N
ST CLOUD MN 56301

Officer/Director/Trustee Three

CATHIE AREHNDFELD
SECERTARY
200 14TH AVE E
SARTELL MN 56377

Organization’s website WWW.ULTIMATEAUTISM.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2013
Organization Incorporation State MN
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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