FORM 1023-EZ for MY CONSCIOUS COACHING GROUP
| Field | Data |
|---|---|
| EIN | 83-2145641 |
| Case Number | EO-2019121-000201 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MY CONSCIOUS COACHING GROUP |
| Organization’s Mailing Address | 3550 EARLY WOODLAND PLACE |
| City | FAIRFAX |
| State | VI |
| ZIP | 22031 |
| Accounting period End | 12 |
| Primary contact name | KEYAUNOOSH KASSUEI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEYAUNOOSH KASSAUEI
CEO
3550 EARLY WOODLAND PLACE
FAIRFAX VA 22031
Officer/Director/Trustee Two
HASSAN NAYER
HONORARY BOARD DIRECTOR
3550 EARLY WOODLAND PLACE
FAIRFAX VA 22031
Officer/Director/Trustee Three
CINDY WIGGLESWORTH
HONORARY BOARD DIRECTOR
1415 S VOSS 110-117
HOUSTON TX 77057
Officer/Director/Trustee Four
MICHELLE MALDONADO
BOARD DIRECTOR
11151 VALLEY VIEW DRIVE 501
BRISTOW VA 20136
Officer/Director/Trustee Five
GRACE BANEZ-SESE
BOARD DIRECTOR
7613 BRITTANY PARC CT
FALLS CHURCH VA 22043
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/1/18 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B28 - Specialized Education Institutions |
| 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 | 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KEYAUNOOSH KASSAUEI |
| Signature Title | CEO |
| Signature Date | 4/29/19 |
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