FORM 1023-EZ for AUTISM SANCTUARY INC

Field Data
EIN 84-4794206
Case Number EO-2020224-000686
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTISM SANCTUARY INC
Organization’s Mailing Address 2275 MECHUM PLACE
City CHARLOTTESVILLE
State VA
ZIP 22901-9573
Accounting period End 12
Primary contact name JASON BREWSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON BREWSTER
DIRECTOR
2275 MECHUM PLACE
CHARLOTTESVILLE VA 22901-9573

Officer/Director/Trustee Two

ARLENE LEE
DIRECTOR
2811 HYDRALIC ROAD
CHARLOTTESVILLE VA 22901-8918

Organization’s website WWW.AUTISMSANCTUARY.ORG
Organization’s email JASON@AUTISMSANCTUARY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 JASON BREWSTER
Signature Title DIRECTOR
Signature Date 8/8/2020

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