FORM 1023-EZ for COLLIER COUNSELING CENTER NP

Field Data
EIN 86-3432478
Case Number EO-2021179-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLLIER COUNSELING CENTER NP
Organization’s Mailing Address 1927 N TREKELL RD STE D
City CASA GRANDE
State AZ
ZIP 85122-1762
Accounting period End 4
Primary contact name ANNETTE COLLIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNETTE COLLIER
DIRECTOR
1927 N TREKELL RD STE D
CASA GRANDE AZ 85122-1762

Officer/Director/Trustee Two

PAULETTE VARGAS
DIRECTOR
1927 N TREKELL RD STE D
CASA GRANDE AZ 85122-1762

Officer/Director/Trustee Three

RODGER KRUEGER
DIRECTOR
1927 N TREKELL RD STE D
CASA GRANDE AZ 85122-1762

Organization’s website WWW.COLLIERCOUNSELINGCENTER.ORG
Organization’s email ANNETTE@COLLIERCOUNSELINGCENTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 ANNETTE COLLIER
Signature Title DIRECTOR
Signature Date 6/25/2021
EIN 86-3432478
Case Number EO-2021179-000629
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLLIER FOUNDATION
Organization’s Mailing Address 1927 N TREKELL RD
City CASA GRANDE
State AZ
ZIP 85122
Accounting period End 5
Primary contact name JACOB COLLIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB COLLIER
DIRECTOR
1927 N TREKELL RD STE D
CASA GRANDE AZ 85122-1762

Officer/Director/Trustee Two

ROBERT HARWWOOD
DIRECTOR
1927 N TREKELL RD STE D
CASA GRANDE AZ 85122-1762

Officer/Director/Trustee Three

PAULETTE VARGAS
DIRECTOR
1927 N TREKELL RD STE D
CASA GRANDE AZ 85122-1762

Organization’s website WWW.COLLIERCOUNSELINGCENTER.ORG
Organization’s email JTCOLLIER15@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 JACOB COLLIER
Signature Title DIRECTOR
Signature Date 6/26/2021

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