FORM 1023-EZ for PAY IT FORWARD CHRISTIAN COUNSELINGINC

Field Data
EIN 81-0949602
Case Number EO-2016077-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAY IT FORWARD CHRISTIAN COUNSELINGINC
Organization’s Mailing Address 646 ONTARIO ST
City SHREVEPORT
State LA
ZIP 71106
Accounting period End 12
Primary contact name KEITH MCMASTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH MCMASTER
PRESIDENT/TREASURER
646 ONTARIO ST
SHREVEPORT LA 71106

Officer/Director/Trustee Two

JUDY MCMASTER
VICE PRESIDENT/SECRETARY
646 ONTARIO ST
SHREVEPORT LA 71106

Officer/Director/Trustee Three

DAVE FORTUNA
VICE PRESIDENT/ASST. SECRETARY
167 SAND BEACH BLVD
SHREVEPORT LA 71105

Officer/Director/Trustee Four

STEVEN BRIAN
VICE PRESIDENT/ASST. SECRETARY
6113 GAYLYN
SHREVEPORT LA 71105

Officer/Director/Trustee Five

KELLY JOHNSON
MEMBER
5029 WILLOW CHASE DR
BENTON LA 71006

Organization’s website
Organization’s email PIFCC01@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State LA
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: 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 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 Yes
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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