FORM 1023-EZ for THE VILLAGE ANGELS AUTISM SUPPORT GROUP INC

Field Data
EIN 47-3619191
Case Number EO-2015264-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE VILLAGE ANGELS AUTISM SUPPORT GROUP INC
Organization’s Mailing Address 9563 SE 168TH MAPLESONG LANE
City THE VILLAGES
State FL
ZIP 32162
Accounting period End 12
Primary contact name SALLY GAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SALLY GAGE
PRESIDENT
9563 SE 168 MAPLESONG LANE
THE VILLAGES FL 32162

Officer/Director/Trustee Two

TISH KELLY
VICE PRESIDENT
1250 PAIGE PLACE
THE VILLAGES FL 32162

Officer/Director/Trustee Three

NANCY HOOPER
SECRETARY
17415 SE CHAMPION AVENUE
THE VILLAGES FL 32163

Officer/Director/Trustee Four

TONI PAGAC
TREASURER
9573 SE 168 MAPLESONG LANE
THE VILLAGES FL 32162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2015
Organization Incorporation State FL
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 Yes
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
Signature Title
Signature Date

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