FORM 1023-EZ for LIFE CHANGING CHRISTIAN COUNSELINGINC

Field Data
EIN 90-1036649
Case Number EO-2014248-000441
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE CHANGING CHRISTIAN COUNSELINGINC
Organization’s Mailing Address 721 ROUTE 34
City MATAWAN
State NJ
ZIP 07747
Accounting period End 12
Primary contact name LOIS GROSVENOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LOIS GROSVENOR
PRESIDENT
721 ROUTE 34
MATAWAN NJ 07747

Officer/Director/Trustee Two

CAMPBELLE AUSTIN
VICE PRESIDENT
721 ROUTE 34
MATAWAN NJ 07747

Officer/Director/Trustee Three

LINDA FORD
SECRETARY
721 ROUTE 34
MATAWAN NJ 07747

Officer/Director/Trustee Four

STACIA EDMONDS
TREASURER
721 ROUTE 34
MATAWAN NJ 07747

Officer/Director/Trustee Five

IVA CUNNINGHAM
BD MEMBER
721 ROUTE 34
MATAWAN NJ 07747

Organization’s website LIFECHANGINGCHRISTIANCOUNSELING.COM
Organization’s email INFO@LIFECHANGINGCHRISTIANCOUNSELING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2013
Organization Incorporation State NJ
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: Yes
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 Yes
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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