FORM 1023-EZ for INDEPENDENT OF AUTISM

Field Data
EIN 47-3061176
Case Number EO-2015042-000150
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDEPENDENT OF AUTISM
Organization’s Mailing Address 4148 DOUBLE TREE LANE
City HAMPSTEAD
State MD
ZIP 21074-1550
Accounting period End 12
Primary contact name ANNA CURTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNA CURTIS
EXECUTIVE DIRECTOR
4148 DOUBLE TREE LANE
HAMPSTEAD MD 21074-1550

Organization’s website HTTP://AUTISMANNA.WEBS.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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