FORM 1023-EZ for ATLANTIC AUDIOLOGY CHARITIES INC

Field Data
EIN 85-1484025
Case Number EO-2020177-000621
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATLANTIC AUDIOLOGY CHARITIES INC
Organization’s Mailing Address 1680 DUNLAWTON AVENUE
City PORT ORANGE
State FL
ZIP 32127
Accounting period End 12
Primary contact name DR STACY OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACY OBRIEN
PRES SEC TREAS DIR
1680 DUNLAWTON AVENUE
PORT ORANGE FL 32127

Officer/Director/Trustee Two

BAILEY OBRIEN
DIRECTOR
1680 DUNLAWTON AVENUE
PORT ORANGE FL 32127

Officer/Director/Trustee Three

REILLY OBRIEN
DIRECTOR
1680 DUNLAWTON AVENUE
PORT ORANGE FL 32127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STACY OBRIEN
Signature Title PRES SEC TREAS DIR
Signature Date 6/23/2020

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