FORM 1023-EZ for SHALOM COUNSELING ACADEMY
| Field | Data |
|---|---|
| EIN | 81-1241352 |
| Case Number | EO-2020195-000184 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHALOM COUNSELING ACADEMY |
| Organization’s Mailing Address | POST OFFICE BOX 683 |
| City | LAKE CHARLES |
| State | LA |
| ZIP | 70602 |
| Accounting period End | 12 |
| Primary contact name | DR STANLEY D VARN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STANLEY D VARN
PRESIDENT CEO
1320 SAGE DRIVE
LAKE CHARLES LA 70607
Officer/Director/Trustee Two
VERNETTE VARN
SECRETARY TREASURER
1320 SAGE DRIVE
LAKE CHARLES LA 70607
Officer/Director/Trustee Three
PHYLISS HENRY
REGISTRAR
1206 WEST HWY 90
IOWA LA 70647
| Organization’s website | WWW.SHALOM-ACADEMY.ORG |
|---|---|
| Organization’s email | SHALOMCHRISTIANCOUNSELING@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/15/2014 |
| Organization Incorporation State | LA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | STANLEY D VARN |
| Signature Title | PRESIDENT CEO |
| Signature Date | 6/8/2020 |
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