FORM 1023-EZ for STUDENT COUNSEL

Field Data
EIN 84-4207188
Case Number EO-2020203-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STUDENT COUNSEL
Organization’s Mailing Address 2140 ORESTES WAY
City CAMPBELL
State CA
ZIP 95008
Accounting period End 12
Primary contact name PREETHI PERIYAKOIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PREETHI PERIYAKOIL
PRESIDENT/CEO/DIRECTOR
2140 ORESTES WAY
CAMPBELL CA 95008

Officer/Director/Trustee Two

KASTHURI PERIYAKOIL
TREASURER/CHIEF TECHNOLOGY OFFICER
2140 ORESTES WAY
CAMPBELL CA 95008

Officer/Director/Trustee Three

DIVYA PERIYAKOIL
SECRETARY/CHIEF DATA SCIENTIST/DIR
2140 ORESTES WAY
CAMPBELL CA 95008

Officer/Director/Trustee Four

VYJEYANTHI PERIYAKOIL
CHIEF MEDICAL OFFICER/DIRECTOR
2140 ORESTES WAY
CAMPBELL CA 95008

Officer/Director/Trustee Five

RYAN DEMPSEY
DIRECTOR
40 CEDAR WALK UNIT 2316
LONG BEACH CA 90802

Organization’s website
Organization’s email PREETHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F40 - Hot Line, Crisis Intervention Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 PREETHI PERIYAKOIL
Signature Title PRESIDENT/CEO/DIRECTOR
Signature Date 7/16/2020

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