FORM 1023-EZ for CONGRUENT LIVES INC

Field Data
EIN 83-2428033
Case Number EO-2019030-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONGRUENT LIVES INC
Organization’s Mailing Address 2601 EAST CHAPMAN AVENUE SUITE 111
City FULLERTON
State CA
ZIP 92831
Accounting period End 12
Primary contact name REGEANIE CORONA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YASMIN FARHAD
PRESIDENT & CEO
2601 E CHAPMAN SUITE 111
FULLERTON CA 92831

Officer/Director/Trustee Two

ENAYAT FARHAD
TREASURER
2601 E CHAPMAN SUITE 111
FULLERTON CA 92831

Officer/Director/Trustee Three

DIANNA TAIT
SECRETARY
2601 E CHAPMAN SUITE 111
FULLERTON CA 92831

Organization’s website WWW.CONGRUENTLIVES.COM
Organization’s email YASAMIN.MFT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P46 - Family Counseling
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 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 YASMIN FARHAD
Signature Title PRESIDENT & CEO
Signature Date 12/22/18

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