FORM 1023-EZ for CREATIVE CHANGE COUNSELING
| Field | Data |
|---|---|
| EIN | 47-3867940 |
| Case Number | EO-2015124-000115 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CREATIVE CHANGE COUNSELING |
| Organization’s Mailing Address | 774 EAYERSTOWN ROAD SUITE 204 |
| City | LUMBERTON |
| State | NJ |
| ZIP | 08048 |
| Accounting period End | 12 |
| Primary contact name | KAHREEM CUNNINGHAM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
KAHREEM CUNNINGHAM
DIRECTOR OF ADMINISTRATION
54 ROSS WAY
MARLTON NJ 08053
Officer/Director/Trustee Two
BERTEE THOMAS
VICE PRESIDENT
106 BEECHNUT COURT
LUMBERTON NJ 08048
Officer/Director/Trustee Three
JENNIFER MARTIN
PRESIDENT
55 GINGER DRIVE
LUMBERTON NJ 08048
Officer/Director/Trustee Four
KAHHAR WALI
TRUSTEE
4004 GREENWICH LANE
MT. LAUREL NJ 08054
| Organization’s website | |
|---|---|
| Organization’s email | KCUNNINGHAM@SQLCG.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/29/2015 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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