FORM 1023-EZ for CROSSROADS COMMUNITY COUNSELING

Field Data
EIN 20-4915677
Case Number EO-2016237-000434
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSSROADS COMMUNITY COUNSELING
Organization’s Mailing Address 41 E FOOTHILL BLVD SUITE 102
City ARCADIA
State CA
ZIP 91006
Accounting period End 12
Primary contact name VIRGINIA ARIAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENDY LUDECKE BENCOSME
PRESIDENT
41 E FOOTHILL BLVD SUITE 102
ARCADIA CA 91006

Officer/Director/Trustee Two

WENDY LUDECKE BENCOSME
CHIEF OFFICER
41 E FOOTHILL BLVD SUITE 102
ARCADIA CA 91006

Officer/Director/Trustee Three

WENDY LUDECKE BENCOSME
SECRETARY
41 E FOOTHILL BLVD SUITE 102
ARCADIA CA 91006

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2005
Organization Incorporation State CA
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: 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 No
Donation of funds No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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