FORM 1023-EZ for 4C CHILDREN AND FAMILY COUNSELING SERVICES INC

Field Data
EIN 85-3434014
Case Number EO-2021064-001422
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4C CHILDREN AND FAMILY COUNSELING SERVICES INC
Organization’s Mailing Address 1300 E SHAW AVE SUITE 172
City FRESNO
State CA
ZIP 93710
Accounting period End 12
Primary contact name LAURA E WA3RD ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MCCOY
PRESIDENT/DIRECTOR
1300 E SHAW AVE STE 172
FRESNO CA 93710-7911

Officer/Director/Trustee Two

VERNICE NELLON
SECRETARY
1300 E SHAW AVE STE 172
FRESNO CA 93710-7911

Officer/Director/Trustee Three

GERALD PERRY
CHIEF FINANCIAL OFFICER
1300 E SHAW AVE STE 172
FRESNO CA 93710-7911

Officer/Director/Trustee Four

STACI HERNANDEZ
DIRECTOR
1300 E SHAW AVE STE 172
FRESNO CA 93710-7911

Officer/Director/Trustee Five

KEISHA HOUFF
DIRECTOR
1300 E SHAW AVE STE 172
FRESNO CA 93710-7911

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2020
Organization Incorporation State CA
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 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 MICHELLE MCCOY
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/11/2021

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