FORM 1023-EZ for AUTISM HOME NETWORK

Field Data
EIN 83-1715699
Case Number EO-2018248-000110
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTISM HOME NETWORK
Organization’s Mailing Address 6277 SPRINGDALE BLVD
City GRAND BLANC
State MI
ZIP 48439
Accounting period End 12
Primary contact name ALICIA M SAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICIA SAIN
OFFICER
6277 SPRINGDALE BLVD
GRAND BLANC MI 48439

Officer/Director/Trustee Two

TODD HOOPER
TREASURER
6277 SPRINGDALE BLVD
GRAND BLANC MI 48439

Officer/Director/Trustee Three

TAMMY COLLINS
SECRETARY
15544 SEYMOUR RD
LINDEN MI 48451

Officer/Director/Trustee Four

CHRISTYN SCOTT
DIRECTOR
7223 ANDREA COURT
GRAND BLANC MI 48439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/18
Organization Incorporation State MI
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 Yes
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 ALICIA SAIN
Signature Title OFFICER
Signature Date 9/3/18

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