FORM 1023-EZ for INTEGRATIVE THERAPUETIC COUNSELINGSERVICES

Field Data
EIN 83-1969467
Case Number EO-2019031-000426
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTEGRATIVE THERAPUETIC COUNSELINGSERVICES
Organization’s Mailing Address 607 PINETREE ES DR
City SALISBURY
State NC
ZIP 28144-517
Accounting period End 12
Primary contact name SHEENA HASTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEENA HASTY
PRESIDENT
607 PINE TREE ES DR
SALISBURY NC 28144-517

Officer/Director/Trustee Two

MYLES FARRINGTON
DIROCTOR OF HR
308 BANKS ST
GRAHAM NC 27253-2904

Officer/Director/Trustee Three

AMELIA HASTY-RHODES
VICE PRESIDENT
303 ST JOHN DR
SALISBURY NC 28144-517

Officer/Director/Trustee Four

BRIDGET LIGHTNER
FINANCIAL OFFICER
4821 ABENDEGO ROAD CALDWELL FARMS
CHARLOTTE NC 28213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHEENA HASTY
Signature Title PRESIDENT
Signature Date 1/3/19
EIN 83-1969467
Case Number EO-2019031-000426
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTEGRATIVE THERAPUETIC COUNSELING SERVICES
Organization’s Mailing Address 607 PINETREE ES DR
City SALISBURY
State NC
ZIP 28144-517
Accounting period End 12
Primary contact name SHEENA HASTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEENA HASTY
PRESIDENT
607 PINE TREE ES DR
SALISBURY NC 28144-517

Officer/Director/Trustee Two

MYLES FARRINGTON
DIROCTOR OF HR
308 BANKS ST
GRAHAM NC 27253-2904

Officer/Director/Trustee Three

AMELIA HASTY-RHODES
VICE PRESIDENT
303 ST JOHN DR
SALISBURY NC 28144-517

Officer/Director/Trustee Four

BRIDGET LIGHTNER
FINANCIAL OFFICER
4821 ABENDEGO ROAD CALDWELL FARMS
CHARLOTTE NC 28213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHEENA HASTY
Signature Title PRESIDENT
Signature Date 1/3/19

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