FORM 1023-EZ for AUTISM ODYSSEY

Field Data
EIN 35-2311300
Case Number EO-2020101-000157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTISM ODYSSEY
Organization’s Mailing Address 12 N POINT DR
City BELLINGHAM
State WA
ZIP 98229
Accounting period End 12
Primary contact name MIA PROHASKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIA PROHASKA
CHAIRMAN
8030 SE CORA STREET
PORTLAND OR 97206

Officer/Director/Trustee Two

ANDRE BENNNETT
TREASURER
6545 WILLIAMSBURG WAY
RACINE WI 53406

Officer/Director/Trustee Three

CAROLYN HALLETT
SECRETARY
1118 FINNEGAN WAY SUITE 102
BELLINGHAM WA 98225

Officer/Director/Trustee Four

RILEY ONEIL
MEMBER
6488 MARBLETREE LANE
LAKE WORTH FL 33467

Officer/Director/Trustee Five

AKIKO NELSON
MEMBER
4175 CHEVY CHASE DR
LA CANADA FLINTRIDGE CA 91011

Organization’s website AUTISMODYSSEY.ORG
Organization’s email BETSY@AUTISMODYSSEY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 MIA PROHASKA
Signature Title CHAIRMAN
Signature Date 4/8/2020

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