FORM 1023-EZ for AUTISM MUSTANG ALLIANCE

Field Data
EIN 85-1316335
Case Number EO-2021062-000558
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTISM MUSTANG ALLIANCE
Organization’s Mailing Address 14963 S GRAVES RD
City MULINO
State OR
ZIP 97042
Accounting period End 12
Primary contact name SEARMI PARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEARMI PARK
BOARD PRESIDENT, EXECUTIVE DIRECTOR
14963 S GRAVES RD
MULINO OR 97042

Officer/Director/Trustee Two

GRACE OH
TREASURER
6301 HONOLULU AVENUE UNIT 19
TUJUNGA CA 91042

Officer/Director/Trustee Three

LAURA HA
SECRETARY
398 E 1700 S
KAYSVILLE UT 84037

Officer/Director/Trustee Four

VARTY MANOUELIAN
MEMBER
3434 ANGELUS AVENUE
GLENDALE CA 91208

Officer/Director/Trustee Five

SELBI JOHNSON
VICE CHAIR
5018 SHADOWOOD WAY
FAIR OAKS CA 95628

Organization’s website AUTISMMUSTANGALLIANCE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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 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 SEARMI PARK
Signature Title BOARD PRESIDENT, EXECUTIVE DIRECTOR
Signature Date 12/28/2020

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